Individual
MS. ELISABETH THOMPSON PROVENZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
221 W RESERVOIR RD, WOODSTOCK, VA 22664-1001
(540) 459-8311
(540) 459-4651
Mailing address
221 W RESERVOIR RD, WOODSTOCK, VA 22664-1001
(540) 459-8311
(540) 459-4651
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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