Individual
PHUONG ANH VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4985 WELLINGTON RD, GAINESVILLE, VA 20155-4052
(703) 753-2683
Mailing address
7904 CULLODEN CREST LN, GAINESVILLE, VA 20155-3648
(703) 559-4616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202209830
VA
Other
Enumeration date
01/12/2021
Last updated
02/25/2022
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