Individual
DR. MARY SCOTT WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
3507 W CARY ST, RICHMOND, VA 23221-2728
(804) 254-6400
(804) 254-6402
Mailing address
3507 W CARY ST, RICHMOND, VA 23221-2728
(804) 254-6400
(804) 254-6402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205864
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202205864
BOARD OF PHARMACY
VA
Enumeration date
12/27/2010
Last updated
08/24/2011
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