Individual
JABON EFIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 E BROAD AVE, ROCKINGHAM, NC 28379-4908
(910) 410-3710
Mailing address
1500 E BROAD AVE, ROCKINGHAM, NC 28379-4908
(910) 410-3710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26646
NC
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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