Individual
FELICIA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6500 GEORGE WASHINGTON MEM HWY STE C, GRAFTON, VA 23692-2128
(757) 947-1244
Mailing address
322 RICHTER LN, YORKTOWN, VA 23693-2647
(757) 509-0281
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218345
VA
247200000X
Other Technician
0203016614
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202218345
VIRGINIA BOARD OF PHARMACY
VA
Enumeration date
08/28/2019
Last updated
08/28/2021
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