Individual
AUTUMN LEE MITTLEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
23731
NC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
23731
NC
Other
Enumeration date
08/23/2013
Last updated
02/17/2026
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