Sergomassov, Elizabeth Taylor

Sergomassov, Elizabeth Taylor is an individual health care provider with primary practice located at 3643 N Roxboro St , Durham NC 27704-2702. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Sergomassov, Elizabeth Taylor can be contacted via phone (919) 470-4168.

Contact Information

Primary practice address
3643 N Roxboro St Durham NC 27704-2702
Phone: (919) 470-4168
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5040 North Carolina

Profile Details

NPI number 1295702587
LBN Legal business name Sergomassov, Elizabeth Taylor
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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