MEDICARE: SHARON G BRASWELL RPH

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	10068	NC

General Provider Information

NPI Number	:	1679691893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON G BRASWELL RPH

Provider Business Mailing Address
First Line	:	104 STONEBROOK DR
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-9390
Country	:	US
Telephone Number	:	919-553-0144
Fax Number	:	919-550-0829

Provider Business Practice Location Address
First Line	:	11360 US HIGHWAY 70 W
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-2206
Country	:	US
Telephone Number	:	919-553-0144
Fax Number	:	919-550-0829

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

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	07/08/2007

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