Individual
DR. JODI V. ETTARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
22776 TIMBERLAKE RD, SUITE C, LYNCHBURG, VA 24502-7310
(434) 237-3331
(434) 237-3313
Mailing address
194 N LAKE DR, LYNCHBURG, VA 24502-6661
(434) 525-5131
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0202205862
VA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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