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Individual

DR. MICHAEL TEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
112 N BENBOW RD, GREENSBORO, NC 27411-0001
(336) 334-7880
Mailing address
304 POMONA DR. SUITE B AND C, GREENSBORO, NC 27407
(336) 337-2794
(336) 232-1622

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
24186
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24186
NORTH CAROLINA BOARD OF PHARMACY LICENSE
NC
Enumeration date
09/15/2014
Last updated
06/20/2017
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