Individual
JASON CECIL LOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 S MAIN ST, DANVILLE, VA 24541-2955
(434) 793-2221
Mailing address
401 S MAIN ST, DANVILLE, VA 24541-2955
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214123
VA
183500000X
Pharmacist
25160
NC
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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