Individual
JENNA GREENE REDWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
803 N JK POWELL BLVD, WHITEVILLE, NC 28472-2122
(910) 640-0900
Mailing address
318 FLOYD ST, FAIR BLUFF, NC 28439-9407
(910) 640-8320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29860
NC
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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