Individual
MONTASER AHMED MOHAMMED DAFALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
300 E CORNWALLIS DR, GREENSBORO, NC 27408-5104
(336) 275-9471
Mailing address
4204 BRADDOCK RD, HIGH POINT, NC 27265-9353
(336) 912-6466
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
32855
NC
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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