Individual
ANA DATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3300 RAMSEY ST, FAYETTEVILLE, NC 28301-7624
(910) 822-4965
Mailing address
3300 RAMSEY ST, FAYETTEVILLE, NC 28301-7624
(910) 822-4965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20811
NC
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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