Individual
ELIZABETH CAROL GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 N LABURNUM AVE, RICHMOND, VA 23223-2179
(804) 343-2012
(804) 343-2017
Mailing address
1205 N LABURNUM AVE, RICHMOND, VA 23223-2179
(804) 343-2012
(804) 343-2017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216338
VA
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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