JUSTIN EZENNUBIA

CHARLOTTE, NC
NPI1912553561
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NC  28998)
Additional Taxonomies183500000X Pharmacist
(Licence: SC  42161)
Enumeration Date2019-08-09
Last Update Date2019-08-09
Business Address
JUSTIN EZENNUBIA PharmD
13845 CONLAN CIR
CHARLOTTE, NC 28277-2705
Phone number: 704-544-2092
Mailing Address
JUSTIN EZENNUBIA PharmD
6625 COW HOLLOW DR APT 2224
CHARLOTTE, NC 28226-8583
Phone number: 704-771-2436