Individual
JACOB BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2460 GEORGE WASHINGTON MEMORIAL HWY, HAYES, VA 23072-3566
(804) 642-9834
Mailing address
2460 GEORGE WASHINGTON MEMORIAL HWY, HAYES, VA 23072-3566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202215269
VA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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