Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Jun 15, 2021
License(s)
19217 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3315 BANYAN WAY | Waxhaw, NC 28173-8852 | |
| LOCATION | 311 S POLK ST UNIT 80 | Pineville, NC 28134-8631 | 704-275-8791 |
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