Individual
MR. JUDSON DUPREE CARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
7199 STONEWALL PKWY, MECHANICSVILLE, VA 23111-1158
(804) 730-9301
Mailing address
11200 INGALLSTON RD, HENRICO, VA 23233-2213
(804) 310-5005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011364
VA
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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