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1154877322
ANTONIE HOMER
FREDERICKSBURG, VA
NPI
1154877322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 0202214925)
Enumeration Date
2016-08-28
Last Update Date
2016-08-28
Business Address
-- ANTONIE HOMER RPh
10809 TIDEWATER TRL
FREDERICKSBURG, VA 22408-2048
Phone number: 540-368-3390
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Mailing Address
-- ANTONIE HOMER RPh
10809 TIDEWATER TRL
FREDERICKSBURG, VA 22408-2048
Phone number:
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