Individual
MISS BRANDI WEBBER-ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4417 CORPORATION LN, VIRGINIA BEACH, VA 23462-3162
(757) 552-8964
Mailing address
100 ISABELLA LN APT 101, VIRGINIA BEACH, VA 23462-6734
(919) 225-2110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207655
VA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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