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1225783962
SAMUEL LEE CHILDRESS
STATESVILLE, NC
NPI
1225783962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 17079)
Enumeration Date
2022-02-21
Last Update Date
2022-02-21
Business Address
SAMUEL LEE CHILDRESS Pharm D
308 MOCKSVILLE HWY
STATESVILLE, NC 28625-8267
Phone number: 704-878-6681
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Mailing Address
SAMUEL LEE CHILDRESS Pharm D
229 NOTTINGHAM CIR
STATESVILLE, NC 28625-8201
Phone number: 704-437-0587
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