Individual
JEFFREY SCOTT MASTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4000 CITY WALK WAY, CHARLOTTESVILLE, VA 22902-5543
(315) 378-2143
Mailing address
4000 CITY WALK WAY, CHARLOTTESVILLE, VA 22902-5543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202215164
VA
183500000X
Pharmacist
061899
NY
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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