Individual
ALEXANDRA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 UPTON DR, VIRGINIA BEACH, VA 23454-1186
(757) 430-5101
Mailing address
2233 UPTON DR, VIRGINIA BEACH, VA 23454-1186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216918
VA
Other
Enumeration date
12/26/2020
Last updated
12/26/2020
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