Individual
DR. JASON SUTPHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7515 WILLIAMSON RD, HOLLINS, VA 24019-4301
(540) 563-1010
Mailing address
7515 WILLIAMSON RD, HOLLINS, VA 24019-4301
(540) 563-1010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202212365
VA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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