Individual
MARY KATHRYN FREEMAN-STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 N MAIN ST, SUFFOLK, VA 23434-4352
(757) 539-9490
(757) 539-4181
Mailing address
1405 N MAIN ST, SUFFOLK, VA 23434-4352
(757) 539-9490
(757) 539-4181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007475
VA
Other
Enumeration date
03/04/2011
Last updated
04/19/2011
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