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Individual

MS. ROBERTA ANN BULLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
228 MARDAY DR, RUTHER GLEN, VA 22546-1502
(804) 448-4469
Mailing address
228 MARDAY DR, RUTHER GLEN, VA 22546-1502

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
0202006591
VA

Other

Enumeration date
08/01/2008
Last updated
08/01/2008
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