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Michele Renee Baran

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

NPI number1285901702
StatusActive
Last updated in NPPESNov 29, 2011

Details

NPI
1285901702
Entity type
Individual (NPI-1)
Name
Michele Renee Baran
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 29, 2011
Last updated
Nov 29, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist22028NCYes
183500000X Pharmacist03-2-19543OH
183500000X PharmacistPH100000420DC
183500000X PharmacistPS37944FL
183500000X Pharmacist0202209808VA
183500000X PharmacistRP0005577WV

Practice location

1600 Gum Branch Rd
Jacksonville, NC 28540-5201

Phone 910-478-4949 · Fax 910-478-4946

Mailing address

1600 Gum Branch Rd
Jacksonville, NC 28540-5201

Phone 910-478-4949 · Fax 910-478-4946

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