Individual
ALLEGRA VANESSA MCDONALD FADEYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, CGP
Contact information
Practice address
643 ROCKY FIELD DR, CORDOVA, TN 38018-6550
(804) 651-6429
Mailing address
643 ROCKY FIELD DRIVE, CORDOVA, TN 38018-6550
(804) 651-6429
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
0202205262
VA
1835G0303X
Geriatric Pharmacist
Primary
36005
TN
1835G0303X
Geriatric Pharmacist
P-11728
MS
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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