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1912553561
JUSTIN EZENNUBIA
CHARLOTTE, NC
NPI
1912553561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 28998)
Additional Taxonomies
183500000X Pharmacist
(Licence: SC 42161)
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
JUSTIN EZENNUBIA PharmD
13845 CONLAN CIR
CHARLOTTE, NC 28277-2705
Phone number: 704-544-2092
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Mailing Address
JUSTIN EZENNUBIA PharmD
6625 COW HOLLOW DR APT 2224
CHARLOTTE, NC 28226-8583
Phone number: 704-771-2436
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