Individual
JOCELYN STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 REGIONAL PARK RD, LEBANON, VA 24266-3712
(276) 889-3547
Mailing address
1050 REGIONAL PARK RD, LEBANON, VA 24266-3712
(276) 889-3547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208472
VA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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