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1679807481
JIMMY DALE KEITH
KERNERSVILLE, NC
NPI
1679807481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 10715)
Enumeration Date
2009-09-25
Last Update Date
2023-07-18
Business Address
JIMMY DALE KEITH RPH
207 OAKWAY RIDGE CT
KERNERSVILLE, NC 27284-7455
Phone number: 336-992-6814
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Mailing Address
JIMMY DALE KEITH RPH
1427A NC HIGHWAY 68 N
OAK RIDGE, NC 27310-9768
Phone number: 336-703-7580
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