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Individual

ASHLEY BROOK HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
WALMART PHARMACY, 11214 JEFFERSON AVE, NEWPORT NEWS, VA 23601
(757) 327-7478
(757) 327-7474
Mailing address
WALMART, 11214 JEFFERSON AVE, NEWPORT NEWS, VA 23601
(757) 327-7478
(757) 327-7474

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230002278
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0230002278
TECHNICIAN LICENSE
VA
Enumeration date
04/12/2021
Last updated
04/12/2021
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