Individual
JOHN BOOKER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 MOUNT CROSS RD, DANVILLE, VA 24540-4065
(434) 799-6813
Mailing address
3037 WESTOVER DR, DANVILLE, VA 24541-5447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007759
VA
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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