Individual
KASEY MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 WAL MART DR, WINCHESTER, VA 22603-3937
(540) 545-4630
Mailing address
501 WAL MART DR, WINCHESTER, VA 22603-3937
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210617
VA
183500000X
Pharmacist
058036
NY
183500000X
Pharmacist
PH100001713
DC
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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