Individual
JOHNATHAN WESLEY DEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1503 SLATE CREEK RD, GRUNDY, VA 24614-6974
(276) 935-6455
(276) 935-2981
Mailing address
2057 AIRPORT RD, VANSANT, VA 24656-8408
(276) 935-6455
(276) 935-2981
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207019
VA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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