MR. Brack Edward Slate, PHARMACIST

NPI #1093155202 in Gate City, Virginia

Provider Information

NPI Number
1093155202
Entity Type
Individual
Name
MR. Brack Edward Slate, PHARMACIST
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARMACIST
Enumeration Date
Jul 2, 2013
Last Updated
Jul 2, 2013

Practice Location

Address
119 E JACKSON ST
Address 2
SUITE 101
ZIP Code
24251-3418
Phone
(276) 386-3821

Specialties & Taxonomy Codes

Specialty
Pharmacist

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