Individual
DILLON WEST BREEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4028 WARDS RD, LYNCHBURG, VA 24502-2944
(434) 239-7092
Mailing address
51 EAST CROSSROADS DRIVE, LEBANON, VA 24266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217989
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
DO NOT HAVE
—
Enumeration date
12/01/2020
Last updated
12/01/2020
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