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Individual

BRIAN THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1904 EMMET ST N, CHARLOTTESVILLE, VA 22901-2815
(434) 295-8334
Mailing address
1904 EMMET ST N, CHARLOTTESVILLE, VA 22901-2815

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214483
VA
183500000X
Pharmacist
PH100002053
DC

Other

Enumeration date
08/19/2015
Last updated
10/14/2015
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