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Individual

MRS. LESA F BROOKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1561 VIRGINIA AVE, RICH CREEK, VA 24147
(540) 726-7911
(540) 726-7980
Mailing address
PO BOX 283, RICH CREEK, VA 24147-0283
(304) 753-5008

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011556
VA
183500000X
Pharmacist
RP0005661
WV

Other

Enumeration date
09/29/2008
Last updated
09/26/2014
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