Pierce, Dwayne Allen
Pierce, Dwayne Allen is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Pierce, Dwayne Allen can be contacted via phone (336) 716-6978.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-6978
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 16658 | North Carolina |
| Pharmacy Service Providers / Pharmacist | 183500000X | 018945 | Georgia |
Profile Details
| NPI number | 1902022668 |
|---|---|
| LBN Legal business name | Pierce, Dwayne Allen |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902022668 | NPPES |
| North Carolina | Other | 16658 | PHARMACY LICENSE |
| North Carolina | Other | 018945 | PHARMACY LICENSE |
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