MEDICARE: MRS. APRYL JEANETTE KLINGENSMITH R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	19287	NC

General Provider Information

NPI Number	:	1083922173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. APRYL JEANETTE KLINGENSMITH R.PH.

Provider Business Mailing Address
First Line	:	4621 CAPEFIELD DR
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-3440
Country	:	US
Telephone Number	:	919-267-3407
Fax Number	:

Provider Business Practice Location Address
First Line	:	2902 FORESTVILLE RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-8774
Country	:	US
Telephone Number	:	919-266-6418
Fax Number	:	919-266-7352

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2010
Last Update Date	:	09/22/2010

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