Individual
JEREMY BROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4216 JEFFERSON OAKS CIR, FAIRFAX, VA 22033-4082
(703) 898-2809
Mailing address
4216 JEFFERSON OAKS CIR, FAIRFAX, VA 22033-4082
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213785
VA
Other
Enumeration date
01/01/2016
Last updated
01/01/2016
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