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Individual

EBENEZER ADDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1299 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4229
(919) 989-6655
Mailing address
1725 TW ALEXANDER DR, UNIT 1503, DURHAM, NC 27703-9253
(910) 581-4556

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22545
NC

Other

Enumeration date
06/30/2016
Last updated
06/30/2016
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