Individual
AMANDA QUEENSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6920 FOREST AVE, RICHMOND, VA 23230-1701
(804) 774-2243
(804) 774-2237
Mailing address
6920 FOREST AVE, RICHMOND, VA 23230-1701
(804) 774-2243
(804) 774-2237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207042
VA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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