Individual
MICHAEL G PRILLAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1200 IVY LAKE DR, FOREST, VA 24551-4464
(434) 841-2857
Mailing address
1200 IVY LAKE DR, FOREST, VA 24551-4464
(434) 841-2857
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007925
VA
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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