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Individual

DR. JONATHAN K SUTHERLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
RITE AID #1396, CORNER OF HWY 83 & BRUSH CREEK RD, CLINTWOOD, VA 24228
(276) 926-6555
(276) 926-6602
Mailing address
311 LOCKHART FLATS LOOP, PO BOX 1844, CLINTWOOD, VA 24228
(276) 926-8080
(276) 926-6602

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206686
VA

Other

Enumeration date
06/11/2007
Last updated
07/08/2007
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