Individual
JENNY LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4553 MAIN ST, SHALLOTTE, NC 28470-4447
(910) 754-9351
Mailing address
3706 CHESTNUT GROVE RD, LELAND, NC 28451-2567
(607) 372-0072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
32096
NC
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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