Individual
HANNAH COCKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 EUCLID AVE, BRISTOL, VA 24201-3818
(276) 645-0044
Mailing address
25472 CALIMA DR, ABINGDON, VA 24210-9326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202212125
VA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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