Individual
DR. KRYSTAL LYNN SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
1356 GASKINS RD, HENRICO, VA 23238-4919
(804) 740-0011
(804) 754-0837
Mailing address
1356 GASKINS RD, HENRICO, VA 23238-4919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208263
VA
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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