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NPI Code Detail

MEDICARE: JUSTIN POWERS PHARMD

MEDICARE: JUSTIN POWERS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202210547VA

General Provider Information

NPI Number : 1578168480
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN POWERS PHARMD
Provider Business Mailing Address
First Line : 5100 S LABURNUM AVE
Second Line :
City : HENRICO
State : VA
Zip : 23231-4410
Country : US
Telephone Number : 603-767-0369
Fax Number : 804-236-0247
Provider Business Practice Location Address
First Line : 5100 S LABURNUM AVE
Second Line :
City : HENRICO
State : VA
Zip : 23231-4410
Country : US
Telephone Number : 603-767-0369
Fax Number : 804-236-0247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/01/2020

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Directions to “ JUSTIN POWERS PHARMD” Practice Location

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