Individual
MR. ESSAM MOUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5811 PROSPERITY CHURCH RD, CHARLOTTE, NC 28269-1128
(704) 948-0235
Mailing address
5811 PROSPERITY CHURCH RD, CHARLOTTE, NC 28269-1128
(704) 948-0235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23041
NC
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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