Healthcare Provider Details

I. General information

NPI: 1669393674
Provider Name (Legal Business Name): CELESTE MARIE DINZEO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8374 W FRANKLIN ST
MOUNT PLEASANT NC
28124-8812
US

IV. Provider business mailing address

8374 W FRANKLIN ST
MOUNT PLEASANT NC
28124-8812
US

V. Phone/Fax

Practice location:
  • Phone: 704-436-9613
  • Fax: 704-436-6512
Mailing address:
  • Phone: 704-436-9613
  • Fax: 704-436-6512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number34807
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: