Individual
DEREK SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1460 LEE HWY, BRISTOL, VA 24201-2865
(276) 642-0738
Mailing address
1460 LEE HWY, BRISTOL, VA 24201-2865
(276) 642-0738
(276) 642-0130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208428
VA
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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