Individual
MR. JOSEPH CROCKETT SHAFFER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 OLEANDER DR, WILMINGTON, NC 28403
(910) 762-6300
(910) 762-1535
Mailing address
3501 OLEANDER DR, WILMINGTON, NC 28403
(910) 762-6300
(910) 762-1535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9504
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655969
—
NC
Enumeration date
08/19/2009
Last updated
08/19/2009
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