Healthcare Provider Details

I. General information

NPI: 1821474172
Provider Name (Legal Business Name): NATALIE BLEDSOE ZOLDY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2015
Last Update Date: 08/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3966 S MAIN ST
HOPE MILLS NC
28348-2361
US

IV. Provider business mailing address

3966 S MAIN ST
HOPE MILLS NC
28348-2361
US

V. Phone/Fax

Practice location:
  • Phone: 910-429-3010
  • Fax: 910-429-3016
Mailing address:
  • Phone: 910-429-3010
  • Fax: 910-429-3016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25301
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: