Individual
EVAN CHRISTOPHER MEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4211 NC 11 S, WINTERVILLE, NC 28590-8960
(252) 215-0467
Mailing address
4211 NC 11 S, WINTERVILLE, NC 28590-8960
(252) 215-0467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26300
NC
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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