Individual
CASEY JAMES STACKWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10614 PROVIDENCE RD, CHARLOTTE, NC 28277-0233
(704) 841-7538
Mailing address
10614 PROVIDENCE RD, CHARLOTTE, NC 28277-0233
(704) 841-7538
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25286
NC
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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