Individual
DR. JEREMY WAYNE BAREFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
601 COLLEGE ST, CLINTON, NC 28328-3501
(910) 592-4058
Mailing address
101 E J ST, ERWIN, NC 28339-1509
(910) 818-5928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29956
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29956
NCBOP LICENSE
NC
Enumeration date
12/11/2020
Last updated
12/11/2020
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