Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Dec 12, 2010
License(s)
20733 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 705 JAKE ALEXANDER BLVD W | Salisbury, NC 28147-1200 | |
| LOCATION | 705 JAKE ALEXANDER BLVD W | Salisbury, NC 28147-1200 | 704-630-0738 |
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.