Individual
JILL PODELCO PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1904 EMMET ST N, CHARLOTTESVILLE, VA 22901-2815
(434) 295-2132
(434) 295-0677
Mailing address
532 PELHAM DR, KESWICK, VA 22947-2184
(434) 293-2549
(434) 295-0677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011802
VA
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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