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Contact Information

DIVINE AMBE
1716 E BROAD ST
STATESVILLE, NC28625-4306
 Phone: 704-872-8131
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for DIVINE AMBE · (Male)

NPI Number 1780556811
Status Active
Credentials
Entity Individual
Enumeration date 09/18/2025
Last updated 10/24/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • NC License # 34155
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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