Individual
ANDREW WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 MAIN ST, ALTAVISTA, VA 24517-1432
(434) 369-4774
Mailing address
1100 MAIN ST, ALTAVISTA, VA 24517-1432
(434) 369-4774
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218885
VA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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