Most Relevant Information
Provider Data
NPI Number: | 1003195330 |
Provider Name: | DOREELIN MENDOZA CHITLA |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | 12216 |
Most Important Dates
Enumeration Date: | 08/04/2011 |
Last Updated: | 08/04/2011 |
Provider Practice Location
3422 US HWY 1
FRANKLINTON
NC
27525
Practice Location Phone/Fax
Phone: | 9194947735 |
Fax: |
Provider Mailing Location
12305 CAMBERWELL CT
RALEIGH
NC
276148933
Provider Mailing Phone/Fax
Phone: | 9196002093 |
Fax: |