Individual
JENNIFER ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6713 E MARSHVILLE BLVD, MARSHVILLE, NC 28103-1192
(704) 624-2156
(704) 624-3765
Mailing address
PO BOX 3266, WINGATE, NC 28174-3266
(508) 930-4617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28362
NC
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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