Xiaohong Bao Valid NPI
Individual provider · Pharmacist · Stuart, VA
- NPI
- 1982994604
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 0202012832 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-04-14
- Last updated
- 2011-04-14
Practice location
140 Main Street, Rite Aid Pharmacy
Stuart, VA 24171
(276) 694-4034