Individual
ELSHAMLY AFFAN ABDELFATTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1200 EUCLID AVE, BRISTOL, VA 24201-3924
(276) 645-0977
(276) 645-0309
Mailing address
1200 EUCLID AVE, BRISTOL, VA 24201-3924
(276) 645-0977
(276) 645-0309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007263
VA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0000006320
TN
Other
Enumeration date
08/29/2010
Last updated
08/29/2010
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