Kevin Ray Deshazo, PHARMACY TECHNICIAN
NPI #1497554414 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1497554414
- Entity Type
- Individual
- Name
- Kevin Ray Deshazo, PHARMACY TECHNICIAN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacy Technician
- Credential
- PHARMACY TECHNICIAN
- Enumeration Date
- Mar 11, 2025
- Last Updated
- Mar 11, 2025
Practice Location
- Address
- 4508 MINE RD
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22408-2616
- Phone
- (540) 845-5525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy Technician |
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