Individual
JAY JOSEPH PELOQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
620 JOHN PAUL JONES CIR, SUITE 1400, PORTSMOUTH, VA 23708-2111
(757) 953-7718
Mailing address
620 JOHN PAUL JONES CIR, SUITE 1400, PORTSMOUTH, VA 23708-2111
(757) 953-7718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP044220L
PA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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