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Individual

ANITA CHARLENE ELCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
520 W BROAD ST, RICHMOND, VA 23220-4223
(804) 225-1340
(804) 225-8072
Mailing address
520 W BROAD ST, RICHMOND, VA 23220-4223
(804) 225-1340
(804) 225-8072

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204587
VA

Other

Enumeration date
03/22/2011
Last updated
03/22/2011
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