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Individual

MR. MIGUEL ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
2004 WARDS RD, LYNCHBURG, VA 24502-5310
(434) 832-0935
Mailing address
1383 GOODE STATION RD, GOODE, VA 24556-2239

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009770
VA

Other

Enumeration date
09/14/2011
Last updated
09/14/2011
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