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Individual

DANIEL JACOB BOTZENHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
102 HARPER AVE NW, LENOIR, NC 28645-5057
(828) 754-2171
Mailing address
3314 16TH AVE SE STE 202, CONOVER, NC 28613-9694
(828) 465-6822

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27066
NC

Other

Enumeration date
07/14/2017
Last updated
07/14/2017
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