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1922561596
LYDIA PRATHER BALLENTINE
RICHMOND, VA
NPI
1922561596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1835G0303X Pharmacist Geriatric
(Licence: VA 02020009271)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
LYDIA PRATHER BALLENTINE RPH
8575 MAGELLAN PKWY STE 1000
RICHMOND, VA 23227-1164
Phone number: 804-229-2352
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Mailing Address
LYDIA PRATHER BALLENTINE RPH
8575 MAGELLAN PKWY STE 1000
RICHMOND, VA 23227-1164
Phone number: 804-229-2352
Copy
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