JONATHAN MARK BACON

CHARLOTTE, NC
NPI1386924348
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NC  7757)
Enumeration Date2011-08-23
Last Update Date2011-08-23
Business Address
Mr. JONATHAN MARK BACON R.Ph.
1533 SOUTH BLVD
CHARLOTTE, NC 28203-4723
Phone number: 704-342-4558
Mailing Address
Mr. JONATHAN MARK BACON R.Ph.
701 ROYAL CT APT # 705
CHARLOTTE, NC 28202-2748
Phone number: 704-516-5219
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