Individual
MR. JEFFREY C DELAFUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., R.PH.
Contact information
Practice address
410 N. 12TH STREET, RICHMOND, VA 23298-0581
(804) 828-7831
(804) 827-0002
Mailing address
6000 BRENTMOOR DR, GLEN ALLEN, VA 23059-7005
(804) 360-7042
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
0202205589
VA
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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