Individual
MARK LYDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
11119 HULL STREET RD, MIDLOTHIAN, VA 23112-3203
(804) 744-5986
(804) 744-6156
Mailing address
11119 HULL STREET RD, MIDLOTHIAN, VA 23112-3203
(804) 744-5986
(804) 744-6156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012297
VA
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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