Jerry Mason Vanbrocklin

Pharmacist · Buena Vista, VA

Individual Active NPI

NPI number 1093086381

Practice location

2263 Magnolia Ave
Buena Vista, VA 24416
Phone
(540) 261-2896
Fax
(540) 261-1635

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NPI record

NPI
1093086381
Entity type
Individual (Type 1)
Enumeration date
January 19, 2012
Last updated
January 19, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 0202010002 VA

About Jerry Vanbrocklin

Jerry Mason Vanbrocklin is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2263 Magnolia Ave, Buena Vista, VA 24416. The NPI number 1093086381 was assigned on January 19, 2012 and the record was last updated on January 19, 2012.

Jerry Vanbrocklin lists a license in the registry: #0202010002 (VA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry Mason Vanbrocklin?

The NPI number is 1093086381.

What is the phone number of Jerry Vanbrocklin?

The phone number listed for the practice location is (540) 261-2896.

Where is Jerry Vanbrocklin located?

2263 Magnolia Ave, Buena Vista, VA 24416.

What is the taxonomy code for Jerry Vanbrocklin?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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