Individual
HEATHER RENEE VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4577 MAIN ST, SHALLOTTE, NC 28470-4447
(910) 755-5953
Mailing address
4577 MAIN ST, SHALLOTTE, NC 28470-4447
(910) 755-5953
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20467
NC
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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