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1073693776
ALAN GREY BANNER
STATESVILLE, NC
NPI
1073693776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 05610)
Enumeration Date
2006-10-17
Last Update Date
2007-07-09
Business Address
Mr. ALAN GREY BANNER rph
3478 E BROAD ST
STATESVILLE, NC 28625-4523
Phone number: 704-878-6681
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Mailing Address
Mr. ALAN GREY BANNER rph
116 MORNING DOVE LN
STATESVILLE, NC 28625-2709
Phone number: 704-876-8707
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