Individual
BRIAN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9650 W BROAD ST, GLEN ALLEN, VA 23060-4115
(804) 727-3050
Mailing address
9650 W BROAD ST, GLEN ALLEN, VA 23060-4115
(804) 273-9276
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217015
VA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0202217015
VA
Other
Enumeration date
08/10/2018
Last updated
09/09/2024
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