Individual
MRS. KATHERINE ANNA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
104 W BROADDUS AVE, BOWLING GREEN, VA 22427-9404
(804) 633-5058
Mailing address
602 LAKE CAROLINE DR, RUTHER GLEN, VA 22546-5113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007306
VA
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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