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Individual

MRS. KIM RICE GORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMACIST

Contact information

Practice address
2105 ACADEMY RD, SUITE E, POWHATAN, VA 23139-5829
(804) 598-5028
Mailing address
9071 MOUNT ZION RD, JETERSVILLE, VA 23083-2213
(804) 561-3804

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007822
VA

Other

Enumeration date
02/06/2007
Last updated
07/08/2007
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