Individual
CAROLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 GEORGIA AVE NW # BB06, WASHINGTON, DC 20060-0001
(202) 865-1323
Mailing address
4405 ARAGON PL, ALEXANDRIA, VA 22309-4001
(303) 548-9991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100002965
DC
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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