Malcolm Lavaughan Massenberg
Malcolm Lavaughan Massenberg is a Pharmacist in Petersburg, Virginia. Licensed in Virginia. Registered with an NPI since 2007.
- Licensed in
- VA
- In the registry since
- 2007
Practice location Address checks out
3330 S Crater RdPetersburg, VA 23805-9277
Phone: (804) 863-0983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 0202005260 (VA) |
|---|
Record details
| NPI number | 1518186253 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 24, 2007 |
| Last updated in NPPES | July 8, 2007 |
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