Individual
MR. JERRY HENRY COTTLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4600 OLEANDER DR, WILMINGTON, NC 28403-5149
(910) 392-1921
Mailing address
133 GREAT OAK DR, HAMPSTEAD, NC 28443-2143
(910) 270-2289
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5690
NC
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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