Provider Demographics
NPI:1972144640
Name:GESUNDHEIT, CESAR (PHARMD)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:
Last Name:GESUNDHEIT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 PLEASANT HILL RD
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-9416
Mailing Address - Country:US
Mailing Address - Phone:828-728-0362
Mailing Address - Fax:
Practice Address - Street 1:301 LONG SHOALS RD
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-7713
Practice Address - Country:US
Practice Address - Phone:828-681-5173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29099183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty