Individual
CHARLA SMITH PRIDGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1209 N BRIDGE ST, ELKIN, NC 28621-2301
(336) 526-0011
(336) 526-6005
Mailing address
8127 RIVERWAY RD, LEWISVILLE, NC 27023-9509
(336) 945-4424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07487
NC
Other
Enumeration date
11/20/2010
Last updated
11/20/2010
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