Provider Demographics
NPI:1447475272
Name:DUNN, EVERETTE MATTHEWS (RPH)
Entity type:Individual
Prefix:MR
First Name:EVERETTE
Middle Name:MATTHEWS
Last Name:DUNN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:328 CHAPMAN ROAD
Mailing Address - City:MONTREAT
Mailing Address - State:NC
Mailing Address - Zip Code:28757-0340
Mailing Address - Country:US
Mailing Address - Phone:828-669-1204
Mailing Address - Fax:828-669-1204
Practice Address - Street 1:2294 US HWY 70
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778
Practice Address - Country:US
Practice Address - Phone:828-686-3804
Practice Address - Fax:828-686-3839
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC04516183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist