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1487371118
MICHAEL G PRILLAMAN
FOREST, VA
NPI
1487371118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 0202007925)
Enumeration Date
2022-10-24
Last Update Date
2022-10-24
Business Address
MICHAEL G PRILLAMAN RPh
1200 IVY LAKE DR
FOREST, VA 24551-4464
Phone number: 434-841-2857
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Mailing Address
MICHAEL G PRILLAMAN RPh
1200 IVY LAKE DR
FOREST, VA 24551-4464
Phone number: 434-841-2857
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