Individual
IRENE PETRIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 UNION ST S, CONCORD, NC 28025-5810
(704) 793-1629
Mailing address
210 N CHURCH ST UNIT 3310, CHARLOTTE, NC 28202-2389
(740) 424-6388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20150
NC
Other
Enumeration date
06/05/2011
Last updated
06/05/2011
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