Individual
PATRICIA DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4049 BRAMBLETON AVE, ROANOKE, VA 24018-3426
(540) 725-1546
Mailing address
1715 DEVON RD SW, ROANOKE, VA 24015-2621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011375
VA
183500000X
Pharmacist
16601
NC
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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