Individual
JAN SHOWALTER MEDEIROS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1 MEDICAL PARK BLVD, SUITE 106E, BRISTOL, TN 37620-7430
(423) 844-2888
Mailing address
16447 OLD TIMBER RD, ABINGDON, VA 24210-4891
(276) 623-0801
(276) 623-0812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009118
VA
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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