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1508165697
CHARLES WILLIAM BLACKWELL
WINSTON SALEM, NC
NPI
1508165697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 9823)
Enumeration Date
2011-03-15
Last Update Date
2011-03-15
Business Address
CHARLES WILLIAM BLACKWELL
12216 N NC HIGHWAY 150
WINSTON SALEM, NC 27127-9730
Phone number: 336-764-2211
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Mailing Address
CHARLES WILLIAM BLACKWELL
112 BERRYWOOD LN
LEXINGTON, NC 27295-7302
Phone number:
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