Individual
AJAY GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 NEUSE BLVD, NEW BERN, NC 28560-3470
(252) 672-8365
Mailing address
2015 GUM BRANCH RD APT 1215, JACKSONVILLE, NC 28540-4586
(352) 682-1294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27646
NC
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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