Individual
MISTY GWYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 N FRANKLIN ST, CHRISTIANSBURG, VA 24073-1004
(540) 381-9374
Mailing address
2460 N FRANKLIN ST, CHRISTIANSBURG, VA 24073-1004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204777
VA
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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