Individual
MICHAEL THOMAS VAN ORNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, RN
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-8003
(434) 654-8030
Mailing address
247 HICKORY HILL DR, SCOTTSVILLE, VA 24590-4639
(434) 286-8003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
437059
NY
183500000X
Pharmacist
045917
NY
1835P1200X
Pharmacotherapy Pharmacist
Primary
0202211249
VA
Other
Enumeration date
04/26/2006
Last updated
03/02/2015
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