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Justin Ezennubia, PHARMD
Pharmacist in Charlotte, North Carolina
NPI 1912553561

Justin Ezennubia is a Pharmacist based in Charlotte, NC. Justin Ezennubia practices in Charlotte, NC and has the professional credentials of PHARMD. The NPI Number for Justin Ezennubia is 1912553561 and holds a License No. 42161 (North Carolina).

The current practice location address for Justin Ezennubia is 13845 Conlan Cir, Charlotte, NC and can be reached out via phone at 704-544-2092.

Location: 13845 Conlan Cir, Charlotte, NC, 28226-8583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912553561
Provider Name
Justin Ezennubia
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
13845 Conlan Cir, Charlotte, NC, 28226-8583
Phone Number
704-544-2092
Fax Number
Provider Enumeration Date
08/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13845 Conlan Cir
City
Charlotte
State
North Carolina
Zip
28277-2705
Phone Number
704-544-2092
Fax Number
person
Provider Business Mailing Address Details
Address
13845 Conlan Cir
City
Charlotte
State
North Carolina
Zip
28277-2705
Phone Number
704-544-2092
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
42161 (South Carolina)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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