ETHAN LY

CHARLOTTE, NC
NPI1659968576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NC  28500)
Enumeration Date2020-12-26
Last Update Date2021-02-12
Business Address
Mr. ETHAN LY
12830 WALKER BRANCH RD
CHARLOTTE, NC 28273-8850
Phone number: 704-583-2602
Mailing Address
Mr. ETHAN LY
12830 WALKER BRANCH RD
CHARLOTTE, NC 28273-8850
Phone number: 704-583-2602