Individual
DR. DWAYNE ALLEN PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6978
Mailing address
4112 GLENCOVE CT, WINSTON SALEM, NC 27106-4782
(336) 760-2416
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
018945
GA
183500000X
Pharmacist
Primary
16658
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018945
PHARMACY LICENSE
GA
01
—
16658
PHARMACY LICENSE
NC
Enumeration date
04/18/2007
Last updated
07/08/2007
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