Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Aug 4, 2011
License(s)
21807 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2108 WINNIE PL | Raleigh, NC 27603-2775 | |
| LOCATION | 1106 ENVIRON WAY | Chapel Hill, NC 27517-4418 | 919-918-7595 |
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.