Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Jul 10, 2014
License(s)
11987 (NC), 13262 (SC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2225 12TH AVE NE | Hickory, NC 28601-3188 | 828-261-0252 |
| LOCATION | 2225 12TH AVE NE | Hickory, NC 28601-3188 | 828-261-0252 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.