Individual
ERNEST D DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
4080 LAFAYETTE CENTER DR, CHANTILLY, VA 20151-1247
(703) 266-3667
(703) 266-3361
Mailing address
43828 CHURCHILL GLEN DR, CHANTILLY, VA 20152-5769
(703) 901-6503
(703) 266-3361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009713
VA
Other
Enumeration date
04/24/2011
Last updated
04/24/2011
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