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1780975292
JEFFREY SCOTT HENNIS
WINSTON SALEM, NC
NPI
1780975292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 8348)
Enumeration Date
2011-05-02
Last Update Date
2011-05-02
Business Address
Mr. JEFFREY SCOTT HENNIS Rph
1040 HANES MALL BLVD
WINSTON SALEM, NC 27103-1309
Phone number: 336-774-9623
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Mailing Address
Mr. JEFFREY SCOTT HENNIS Rph
1040 HANES MALL BLVD
WINSTON SALEM, NC 27103-1309
Phone number: 336-774-9623
Copy
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