Organization
DEFENSE HEALTH AGENCY
Active
Other names
Defense Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
SHARWANDA GEORGE PHD (CLINICAL PHARMACIST)
(703) 696-7924
Entity
Organization
Contact information
Practice address
401 CARPENTER RD # 525, FT MYER, VA 22211-1009
(703) 696-7924
Mailing address
401 CARPENTER RD # 525, FT MYER, VA 22211-1009
(703) 696-7924
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082820180
PHARMACY TECHNICIAN
MD
Enumeration date
02/01/2023
Last updated
02/01/2023
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