Individual
MR. MARK JOSEPH HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
610 N MAIN ST, CHASE CITY, VA 23924-1133
(434) 372-4175
Mailing address
PO BOX 43, CLARKSVILLE, VA 23927-0043
(434) 374-2851
(434) 374-2851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012515
VA
183500000X
Pharmacist
19378
NC
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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