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1023638178
ALEXANDER SHATALOV
CLEMMONS, NC
NPI
1023638178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 29102)
Enumeration Date
2020-04-19
Last Update Date
2021-04-03
Business Address
Dr. ALEXANDER SHATALOV PharmD
1433 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012-9713
Phone number: 336-712-0663
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Mailing Address
Dr. ALEXANDER SHATALOV PharmD
150 PETERS CREEK PKWY APT 326
WINSTON SALEM, NC 27101-3687
Phone number: 803-429-4347
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