Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Aug 4, 2021
License(s)
30516 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2939 THE PLZ | Charlotte, NC 28205-2464 | 704-333-0168 |
| MAILING | 6017 ANSLEY FALLS DR APT 1313 | Charlotte, NC 28217-5221 | 803-834-1016 |
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