Individual
DEANNA M KIPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
200 OLD FAIR GROUNDS WAY, KILMARNOCK, VA 22482-3871
(804) 435-6317
Mailing address
200 OLD FAIR GROUNDS WAY, KILMARNOCK, VA 22482-3871
(804) 435-6317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
02020011784
VA
1835P1200X
Pharmacotherapy Pharmacist
0202011784
VA
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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