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1700355278
ARTEM DERKACHEV
CHARLOTTE, NC
NPI
1700355278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 28312)
Enumeration Date
2018-11-14
Last Update Date
2018-11-14
Business Address
ARTEM DERKACHEV
4104 N COURSE DR
CHARLOTTE, NC 28277-7612
Phone number: 704-773-7829
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Mailing Address
ARTEM DERKACHEV
4104 N COURSE DR
CHARLOTTE, NC 28277-7612
Phone number:
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