Individual
MS. TERESA SHANKS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH., BCPP
Contact information
Practice address
521 COLONY RD, MADISON HTS, VA 24572-2105
(434) 947-2081
(434) 947-2998
Mailing address
101 SUMMERWOOD LN, FOREST, VA 24551-1107
(434) 665-0483
(434) 947-2988
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
0202001802
VA
Other
Enumeration date
07/07/2005
Last updated
08/30/2011
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