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Individual

DR. GINNA PIKE TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D., CPP

Contact information

Practice address
501 NORTH ELAM AVENUE, GREENSBORO, NC 27403-1199
(336) 832-0772
(336) 832-0604
Mailing address
501 NORTH ELAM AVENUE, GREENSBORO, NC 27403-1199
(336) 832-0772
(336) 832-0604

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0070-00266
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0070-00266
NC MEDICAL BOARD
NC
Enumeration date
08/02/2012
Last updated
08/02/2012
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