Individual
ANGEL OMAR AVILES ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9640 LEESVILLE RD, RALEIGH, NC 27613-5970
(919) 745-4938
Mailing address
202 N WEST ST APT 414, RALEIGH, NC 27603-6183
(787) 354-0046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
32951
NC
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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