Individual
JONATHAN DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7900
Mailing address
804 DEER PATH TRL, NEWPORT NEWS, VA 23608-0900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207018
VA
Other
Enumeration date
04/12/2007
Last updated
08/01/2024
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