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Individual

MRS. MARY THERESE SHEPPERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2511 ANDERSON HWY, POWHATAN, VA 23139-7508
(804) 598-5028
(804) 598-6117
Mailing address
3474 RICHARDS RUN, POWHATAN, VA 23139-5800
(804) 598-1699

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0201006905
VA
183500000X
Pharmacist
0202006905
VA

Other

Enumeration date
02/27/2007
Last updated
11/30/2020
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