Individual
JEFF WIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
116 FLANAGAN AVE, LEBANON, VA 24266-4514
(276) 889-5721
Mailing address
116 FLANAGAN AVE, LEBANON, VA 24266-4514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012496
VA
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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