Individual
JULIE LARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
16435 WISE ST., ST. PAUL, VA 24283
(276) 762-5011
Mailing address
8356 S 71, CASTLEWOOD, VA 24224-6382
(276) 608-7626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211656
VA
183500000X
Pharmacist
RP0008036
WV
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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