Individual
MRS. MARY SHAFFER LAATSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10701 SUDLEY MANOR DR, MANASSAS, VA 20109-2845
(703) 335-1414
(703) 335-1537
Mailing address
10701 SUDLEY MANOR DR, MANASSAS, VA 20109-2845
(703) 335-1414
(703) 335-1537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006988
VA
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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