Individual
HESHAM F ELWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1123 N RALEIGH ST, ROCKY MOUNT, NC 27801-5885
(252) 266-2842
Mailing address
1517 MEMORY LN, ROCKY MOUNT, NC 27804-2668
(252) 266-2842
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20872
NC
Other
Enumeration date
04/05/2011
Last updated
04/07/2011
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