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Individual

MRS. ELLEN LONG HOLLYFIELD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1721 TAUSSIG BLVD, NORFOLK, VA 23511
(757) 314-6205
Mailing address
2228 MEADOW RIDGE LN, VIRGINIA BEACH, VA 23456-1398
(757) 430-4139

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007808
VA

Other

Enumeration date
01/30/2006
Last updated
07/08/2007
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