Individual
LISA ANNE HIBBERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6908 MAIN ST, GLOUCESTER, VA 23061-5121
(804) 693-2160
Mailing address
235 IRVINGTON RD, KILMARNOCK, VA 22482-9591
(804) 577-0236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204640
VA
Other
Enumeration date
12/19/2011
Last updated
07/20/2013
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