Individual
MR. LUJUANA FAYE HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
12255 FAIR LAKES PKWY, FAIRFAX, VA 22033-3952
(703) 934-5711
(703) 943-5835
Mailing address
12255 FAIR LAKES PKWY, FAIRFAX, VA 22033-3952
(703) 934-5711
(703) 943-5835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009864
VA
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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