Individual
DUSTIN PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 E 24TH ST, LUMBERTON, NC 28358-3651
(910) 739-4196
Mailing address
103 E 24TH ST, LUMBERTON, NC 28358-3651
(910) 739-4196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29765
NC
183500000X
Pharmacist
42784
SC
Other
Enumeration date
08/12/2020
Last updated
07/28/2021
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