Individual
JACLYN MARIE PERROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
11430 N TRYON ST, CHARLOTTE, NC 28262-0405
(704) 717-3276
Mailing address
3212 EASTOVER RIDGE DR, UNIT 714, CHARLOTTE, NC 28211-1466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23611
NC
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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