Individual
ASHLEY JAYAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N COALTER ST, STAUNTON, VA 24401-3402
(540) 886-2775
Mailing address
501 N COALTER ST, STAUNTON, VA 24401-3402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216983
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202216893
STATE LICENSE
VA
Enumeration date
01/03/2019
Last updated
01/03/2019
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