Individual
MR. AVERY GATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AVERY GATHERS
Contact information
Practice address
525 W 21ST ST, NORFOLK, VA 23517-1985
(757) 625-6073
Mailing address
3537 CRIOLLO DR, VIRGINIA BEACH, VA 23453-2247
(757) 468-1602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0201001461
VA
Other
Enumeration date
05/31/2010
Last updated
05/31/2010
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