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1740570670
ROBERT BRENT CLEVENGER
CHARLOTTE, NC
NPI
1740570670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 8076)
Additional Taxonomies
183500000X Pharmacist
(Licence: MS 9503)
Enumeration Date
2011-04-12
Last Update Date
2011-04-12
Business Address
Mr. ROBERT BRENT CLEVENGER
1533 SOUTH BLVD
CHARLOTTE, NC 28203-4723
Phone number: 704-342-4558
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Mailing Address
Mr. ROBERT BRENT CLEVENGER
1533 SOUTH BLVD
CHARLOTTE, NC 28203-4723
Phone number: 704-342-4558
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