John W Bass, RPH Valid NPI

Individual provider · Pharmacist · South Boston, VA

NPI

1851464465

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

0202003779 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-15

Last updated

2007-07-08