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1558656363
ROBERT LEE FOUNTAIN
WINSTON SALEM, NC
NPI
1558656363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 5697)
Enumeration Date
2011-06-09
Last Update Date
2011-06-09
Business Address
MR. ROBERT LEE FOUNTAIN RPH
540 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101-4331
Phone number: 336-725-5917
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Mailing Address
MR. ROBERT LEE FOUNTAIN RPH
540 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101-4331
Phone number: 336-725-5917
Copy
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