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NPI Code Detail

MEDICARE: MARY ALEXIS BRITT

MEDICARE: MARY ALEXIS BRITT
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
1183500000XPharmacist29196NC

General Provider Information

NPI Number : 1215578448
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ALEXIS BRITT
Provider Business Mailing Address
First Line : 2054 WILLOW STONE CT
Second Line :
City : LELAND
State : NC
Zip : 28451-3110
Country : US
Telephone Number : 910-734-8592
Fax Number :
Provider Business Practice Location Address
First Line : 1212 S WALNUT ST
Second Line :
City : FAIRMONT
State : NC
Zip : 28340-1848
Country : US
Telephone Number : 910-734-8592
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2019
Last Update Date : 09/29/2019

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Directions to “ MARY ALEXIS BRITT ” Practice Location

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