Individual
BRAXTON TYLER CORDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 LAUREL AVE, COEBURN, VA 24230-3529
(276) 395-5396
(276) 395-7928
Mailing address
101 LAUREL AVE, COEBURN, VA 24230-3529
(276) 395-5396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202220134
VA
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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