Individual
JAN KLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 W MAIN ST, SALEM, VA 24153-4707
(540) 387-2791
Mailing address
1355 W MAIN ST, SALEM, VA 24153-4707
(540) 387-2791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009401
VA
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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