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Individual

MS. DAWN RENEE MCCORMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
1817 MARTIN LUTHER KING PKWY, DURHAM, NC 27707-3585
(919) 402-1917
(919) 402-1941
Mailing address
3037 PROPHET DR, HILLSBOROUGH, NC 27278-7820
(630) 842-5055

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051040570
IL
183500000X
Pharmacist
Primary
20029
NC
183500000X
Pharmacist
26017989A
IN
183500000X
Pharmacist
PS39959
FL

Other

Enumeration date
05/16/2011
Last updated
05/16/2011
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