Individual
MELLIE ROSE VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 TOMCAT BLVD, VIRGINIA BEACH, VA 23460-2168
(757) 953-3933
Mailing address
5340 HAYTON WAY, VIRGINIA BEACH, VA 23455-2579
(941) 448-9469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216011
VA
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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