Individual
MATTHEW CHARLES JUSZCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
72 KINGSTON DR, DALEVILLE, VA 24083-2574
(540) 992-1291
Mailing address
3317 CIRCLE BROOK DR APT F, ROANOKE, VA 24018-8241
(540) 761-9477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211641
VA
183500000X
Pharmacist
RP0007960
WV
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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