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Individual

MRS. JONNI KAY COOLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
1420 S MAIN ST, HARRISONBURG, VA 22801-2911
(540) 434-7341
Mailing address
2035 BLUEJAY LN, KEEZLETOWN, VA 22832-2003
(540) 269-2848

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
03221356
OH
183500000X
Pharmacist
Primary
12418
VA
183500000X
Pharmacist
RP0005899
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12418
VIRGINIA PHARMACY LICENSE NUMBER
VA
Enumeration date
03/16/2011
Last updated
03/16/2011
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