Individual
MARY DEE SHORTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1401 JOHNSTON WILLIS DRIVE SUITE 1300, WALGREEN'S PHARMACY, RICHMOND, VA 23235
(804) 560-8000
Mailing address
P.O. BOX 4519, MIDLOTHIAN, VA 23112-0010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007225
VA
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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