Individual
DR. JENNIFER HONEYCUTT CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10930 RAVEN RIDGE RD, SUITE 109, RALEIGH, NC 27614-6593
(919) 844-2055
(919) 844-2054
Mailing address
10930 RAVEN RIDGE RD, SUITE 109, RALEIGH, NC 27614-6593
(919) 844-2055
(919) 844-2054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19749
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19749
NC PHARMACIST LICENSE
NC
Enumeration date
07/17/2008
Last updated
07/17/2008
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