Individual
JILL VLASIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4985 WELLINGTON RD, GAINESVILLE, VA 20155-4052
(703) 753-2683
(703) 753-2803
Mailing address
4985 WELLINGTON RD, GAINESVILLE, VA 20155-4052
(703) 753-2683
(703) 753-2803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204909
VA
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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