Individual
DR. CORAL CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
6501 LOISDALE CT, SPRINGFIELD, VA 22150-1826
(703) 922-1014
Mailing address
300 YOAKUM PKWY APT 903, ALEXANDRIA, VA 22304-4057
(720) 935-4172
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0018850
CO
1835P2201X
Ambulatory Care Pharmacist
Primary
0202211978
VA
Other
Enumeration date
05/07/2017
Last updated
05/07/2017
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