Individual
CAROL COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11271 NUCKOLS RD, GLEN ALLEN, VA 23059-5502
(804) 217-8881
Mailing address
11271 NUCKOLS RD, GLEN ALLEN, VA 23059-5502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009680
VA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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