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Individual

EDWARD R BRESLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4028 WARDS RD, TARGET PHARMACY T1275, LYNCHBURG, VA 24502-2944
(434) 239-7092
(434) 239-7092
Mailing address
4028 WARDS RD, TARGET PHARMACY T1275, LYNCHBURG, VA 24502-2944
(434) 239-7092
(434) 239-7092

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011951
VA
183500000X
Pharmacist
PS0025706
FL

Other

Enumeration date
06/06/2011
Last updated
06/06/2011
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