Individual
DR. COREY R ELDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 783-2079
(704) 783-1784
Mailing address
329 SYCAMORE RIDGE RD NE, CONCORD, NC 28025-7806
(704) 795-6470
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14677
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14677
PHARMACY LICENSE NUMBER
NC
Enumeration date
09/02/2006
Last updated
07/08/2007
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