Individual
MELANIE FAWCETT SUMMERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
42015 VILLAGE CENTER PLZ, STONE RIDGE, VA 20105-3033
(703) 542-8344
(703) 542-8351
Mailing address
42015 VILLAGE CENTER PLZ, STONE RIDGE, VA 20105-3033
(703) 542-8344
(703) 542-8351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006806
VA
183500000X
Pharmacist
RPH011391
GA
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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