Individual
DR. JESSICA L. BRALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.,RPH
Contact information
Practice address
1480 E MAIN ST, K-MART PHARMACY, WYTHEVILLE, VA 24382-3488
(276) 228-3177
Mailing address
1480 E MAIN ST, K-MART PHARMACY, WYTHEVILLE, VA 24382-3488
(276) 228-3177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207677
VA
Other
Enumeration date
05/01/2007
Last updated
04/14/2015
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