Individual
DR. JESSICA ALLEN PETRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 COLONIAL AVE SW, ROANOKE, VA 24015-3210
(540) 342-1877
Mailing address
2001 COLONIAL AVE SW, ROANOKE, VA 24015-3210
(540) 342-1877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207890
VA
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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