Individual
DIANA LYNN BANDURCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10858 BUCKLEY HALL RD, MATHEWS, VA 23109
(804) 725-2556
(804) 725-0786
Mailing address
607 CHAPEL NECK RD, NORTH, VA 23128-2009
(804) 832-2882
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011915
VA
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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