Individual
ALEGRIA A MICLAT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
(757) 728-6054
Mailing address
10 GOODWIN RD, NEWPORT NEWS, VA 23606-2811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
034840-1
NY
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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