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Individual

JOSHUA CALEB THAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217916
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202217916
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
03/06/2021
Last updated
03/06/2021
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