Individual provider · Type 1 NPI

Jerry Mason Vanbrocklin

Pharmacist · Buena Vista, VA

NPI number 1093086381 Active

Practice location

2263 Magnolia Ave
Buena Vista, VA 24416

Fax (540) 261-1635

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0202010002 (VA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1093086381

Jerry Mason Vanbrocklin's National Provider Identifier is 1093086381, issued on Jan 19, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Buena Vista, VA. The record was last updated on Jan 19, 2012.