Individual
GINA M KICINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2816 ERWIN RD STE 105, DURHAM, NC 27705-4589
(919) 282-5553
Mailing address
2816 ERWIN RD STE 105, DURHAM, NC 27705-4589
(919) 282-5553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13693
NC
183500000X
Pharmacist
RP-035896L
PA
Other
Enumeration date
04/08/2010
Last updated
12/22/2022
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