Individual
MR. JONATHAN ROBERT VILLANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R PH
Contact information
Practice address
5030 PETERS CREEK PKWY, MARLEY DRUG, WINSTON SALEM, NC 27127
(336) 771-7672
(336) 771-9921
Mailing address
75 SHADYLAWN DR, WINSTON SALEM, NC 27104-1443
(336) 774-1235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12289
NC
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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