Individual
EARLE WATTS ALLEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 PARK ST, BELMONT, NC 28012-2777
(704) 825-3358
Mailing address
625 PARK ST, BELMONT, NC 28012-2777
(704) 825-3358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
06651
NC
Other
Enumeration date
03/26/2011
Last updated
03/26/2011
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