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Individual

KIRSTEN CLAY MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
3231 HALIFAX RD, SOUTH BOSTON, VA 24592-4907
(434) 572-6994
(434) 517-0070
Mailing address
6090 PHILPOTT RD, SOUTH BOSTON, VA 24592-6630

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011788
VA

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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