Individual
EDWIN CLIFTON KEETER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
110 GROVE ST, FAYETTEVILLE, NC 28301
(910) 223-0270
Mailing address
102 N FAYETTEVILLE ST, PO BOX 6, LUMBER BRIDGE, NC 28357-0006
(910) 843-5318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19692
NC
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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