Individual
DEANNE KNICK VITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
200 N COOPER DR, HENDERSON, NC 27536-4016
(336) 852-0997
Mailing address
1328 MARTIN CREEK DR, WAKE FOREST, NC 27587-3399
(336) 456-0952
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15745
NC
Other
Enumeration date
10/06/2016
Last updated
11/12/2024
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