Individual
MR. JOHN WILLIAM ALTONEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4601 IRONBOUND RD, EASTERN STATE HOSPITAL, WILLIAMSBURG, VA 23188-2652
(757) 253-5327
(757) 253-4521
Mailing address
105 FERNWOOD, WILLIAMSBURG, VA 23185-8122
(757) 229-2060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009202
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202009202
PHARMACIST LICENSE
VA
Enumeration date
07/28/2005
Last updated
02/21/2008
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