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Individual

CAROL E DIETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2741 NC HIGHWAY 55, CARY, NC 27519-6206
(919) 363-3278
(919) 303-6661
Mailing address
1411 JENKS CARPENTER RD, CARY, NC 27519-9425
(919) 749-8347
(919) 303-6661

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10235
NC
183500000X
Pharmacist
26015815
IN

Other

Enumeration date
05/18/2011
Last updated
05/18/2011
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