Individual
MARTIN MOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8900 PATTERSON AVE, HENRICO, VA 23229-6324
(804) 740-7028
Mailing address
8900 PATTERSON AVE, HENRICO, VA 23229-6324
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218248
VA
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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