Individual
CRAIG THIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12810 S TRYON ST, CHARLOTTE, NC 28273-6949
(704) 587-0513
Mailing address
60 TAGGART CT, EAST GREENWICH, RI 02818-1085
(704) 299-1637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16984
NC
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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