Individual
MR. CAREY WOOTEN GAYNOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
329 N FAIRVIEW ROAD, ROCKY MOUNT, NC 27801
(252) 442-8159
(252) 442-0332
Mailing address
5109 NC 222, FOUNTAIN, NC 27829
(252) 749-5561
(252) 749-5561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5927
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3401964
NABP
—
Enumeration date
08/01/2006
Last updated
07/08/2007
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