Individual
BRENT ATWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1003 DOGWOOD AVE, GROTTOES, VA 24441-1946
(540) 689-0935
Mailing address
PO BOX 338, GROTTOES, VA 24441-0338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202212249
VA
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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