Individual
LANCE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BONHAM RD, BRISTOL, VA 24202-5946
(276) 669-2388
Mailing address
100 BONHAM RD, BRISTOL, VA 24202-5946
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000033442
TN
183500000X
Pharmacist
Primary
0202208547
VA
Other
Enumeration date
03/14/2015
Last updated
03/14/2015
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