Individual
CHARLES RUSSELL MANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3813 GASKINS RD, RICHMOND, VA 23233-1436
(804) 747-7787
(804) 747-8721
Mailing address
3813 GASKINS RD, RICHMOND, VA 23233-1436
(804) 747-7787
(804) 747-8721
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009114
VA
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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