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John Treadaway

Pharmacist in Winston Salem, NC. Individual provider (NPI-1).

NPI number1235807488
StatusActive
Last updated in NPPESSep 2, 2021

Details

NPI
1235807488
Entity type
Individual (NPI-1)
Name
John Treadaway
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 2, 2021
Certification date
Sep 2, 2021
Last updated
Sep 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist30635NCYes

Practice location

1315 Creekshire Way Apt 337
Winston Salem, NC 27103-4046

Phone 336-971-9005

Mailing address

1315 Creekshire Way Apt 337
Winston Salem, NC 27103-4046

Phone 336-971-9005

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