Individual
MARY BARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12601 SMOKETOWN RD, WOODBRIDGE, VA 22192-3379
(703) 670-7030
Mailing address
12601 SMOKETOWN RD, WOODBRIDGE, VA 22192-3379
(703) 670-7030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207759
VA
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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