Individual
JACQUELINE DENISE NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
951 DAVIE AVE, STATESVILLE, NC 28677-5301
(704) 873-6216
Mailing address
176 LAKE MIST DR, MOORESVILLE, NC 28117-3512
(704) 578-2208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9939
NC
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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