Individual
DR. MICHELLE NANCY WIDHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
2400 E MAIN ST, RICHMOND, VA 23223-7846
(804) 643-1383
(804) 643-1388
Mailing address
2400 E MAIN ST, RICHMOND, VA 23223-7846
(804) 643-1383
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0202215003
VA
Other
Enumeration date
11/25/2020
Last updated
05/16/2023
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