Individual
NHI LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 624-6849
Mailing address
6357 EDSALL RD, ALEXANDRIA, VA 22312-2614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202223040
VA
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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