Individual
PATRICIA WAGNER SLATTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., PH.D.
Contact information
Practice address
410 N 12TH ST, SMITH RM 454, BOX 980533, RICHMOND, VA 23298-5062
(804) 828-6355
Mailing address
20870 OLD NECK RD, CHARLES CITY, VA 23030-4132
(804) 829-6650
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
0202007537
VA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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