JAN SHOWALTER MEDEIROS

BRISTOL, TN
NPI1194717785
Former NameJANICE ANN SHOWALTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202009118)
Enumeration Date2005-08-18
Last Update Date2007-07-08
Business Address
JAN SHOWALTER MEDEIROS RPH
1 MEDICAL PARK BLVD SUITE 106E
BRISTOL, TN 37620-7430
Phone number: 423-844-2888
Mailing Address
JAN SHOWALTER MEDEIROS RPH
16447 OLD TIMBER RD
ABINGDON, VA 24210-4891
Phone number: 276-623-0801