Provider Demographics
NPI:1740759778
Name:ALOBWEDE, ROSE-KARYL ESUNG
Entity Type:Individual
Prefix:
First Name:ROSE-KARYL
Middle Name:ESUNG
Last Name:ALOBWEDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 BILLSDALE RD
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2168
Mailing Address - Country:US
Mailing Address - Phone:980-365-3826
Mailing Address - Fax:
Practice Address - Street 1:2201 N HERRITAGE ST
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-2223
Practice Address - Country:US
Practice Address - Phone:252-522-4902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy