MALCOLM LAVAUGHAN MASSENBERG

PETERSBURG, VA
NPI1518186253
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202005260)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
-- MALCOLM LAVAUGHAN MASSENBERG
3330 S CRATER RD
PETERSBURG, VA 23805-9277
Phone number: 804-863-0983
Mailing Address
-- MALCOLM LAVAUGHAN MASSENBERG
1118 GLIDEWELL RD
RICHMOND, VA 23227-1431
Phone number: 703-987-1503
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