Individual
JAMAAL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
919 W MERCURY BLVD, HAMPTON, VA 23666-4322
(757) 827-2995
Mailing address
28A WOODLAND RD, HAMPTON, VA 23663-2311
(757) 269-1055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213694
VA
Other
Enumeration date
01/03/2015
Last updated
01/03/2015
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