Individual
MR. MANOUCHEHR NADERPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
25096 LANKFORD HWY, ONLEY, VA 23418
(757) 787-7154
Mailing address
PO BOX 244, PAINTER, VA 23420-0244
(540) 797-5247
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205896
VA
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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