Individual
CRYSTAL M PEEBLES VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4715
(804) 897-5245
(804) 893-8392
Mailing address
11301 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4715
(804) 897-5245
(804) 893-8392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009764
VA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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