Individual
MR. CLIFTON WALDO PADERICK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3302 WINDMERE DR, SANFORD, NC 27330-7063
(919) 776-0891
Mailing address
3302 WINDMERE DR, SANFORD, NC 27330-7063
(919) 776-0891
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8775
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8775
NC PHARMACIST LICENSE
NC
Enumeration date
09/24/2010
Last updated
09/24/2010
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