Individual
PAGE MARGETAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 BROWNS WAY RD, MIDLOTHIAN, VA 23114-9507
(804) 897-0977
Mailing address
112 BROWNS WAY RD, MIDLOTHIAN, VA 23114-9507
(804) 897-0977
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206201
VA
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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