Individual
MR. MARVIN WARREN BRIDGERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5000 COX RD, STE 100, GLEN ALLEN, VA 23060-9263
(804) 822-4383
(804) 965-0987
Mailing address
5000 COX RD, STE 100, GLEN ALLEN, VA 23060-9263
(804) 822-4383
(804) 965-0987
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202010025
VA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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