Individual
COURTNEY LYNN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
657 PHOENIX DR, VIRGINIA BEACH, VA 23452-7318
(757) 498-3720
Mailing address
4424 MILES AVE, SUFFOLK, VA 23435-2315
(804) 712-3665
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202215278
VA
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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