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Individual

MR. JULIAN BRINDLETON HUCKSTEP III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4601 IRONBOUND RD, EASTERN STATE HOSPITAL, WILLIAMSBURG, VA 23188-2652
(757) 253-5327
(757) 253-4521
Mailing address
2721 PERSIMMON PL, WILLIAMSBURG, VA 23185-8048
(757) 564-7147

Taxonomy

Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
0202006884
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202006884
PHARMACIST LICENSE
VA
Enumeration date
02/14/2008
Last updated
02/19/2008
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