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1659968576
ETHAN LY
CHARLOTTE, NC
NPI
1659968576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 28500)
Enumeration Date
2020-12-26
Last Update Date
2021-02-12
Business Address
MR. ETHAN LY
12830 WALKER BRANCH RD
CHARLOTTE, NC 28273-8850
Phone number: 704-583-2602
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Mailing Address
MR. ETHAN LY
12830 WALKER BRANCH RD
CHARLOTTE, NC 28273-8850
Phone number: 704-583-2602
Copy
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