Individual
JONATHAN MENDONSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 MEADOWDALE BLVD, NORTH CHESTERFIELD, VA 23234-5465
(804) 271-8100
Mailing address
4201 MEADOWDALE BLVD, NORTH CHESTERFIELD, VA 23234-5465
(804) 271-8100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202212420
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202212420
BOARD OF PHARMACY LICENSE NUMBER
VA
Enumeration date
09/23/2014
Last updated
09/23/2014
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