Individual
MS. DENEEN TERRELL MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2220 FOXTROT RD, RALEIGH, NC 27610-5046
(919) 821-5066
Mailing address
2220 FOXTROT RD, RALEIGH, NC 27610-5046
(919) 821-5066
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
09758
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09758
NC BOARD OF PHARMACY
NC
Enumeration date
11/25/2011
Last updated
11/25/2011
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