Individual
MR. JOHN MICHAEL GERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4250 GRANBY ST UNIT 301, NORFOLK, VA 23504-1128
(757) 622-6453
Mailing address
4250 GRANBY ST UNIT 301, NORFOLK, VA 23504-1128
(757) 622-6453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202005480
VA
183500000X
Pharmacist
12027
VA
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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