Individual
AMY BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15105 PATRICK HENRY HWY, AMELIA COURT HOUSE, VA 23002-4700
(804) 561-2691
Mailing address
15105 PATRICK HENRY HWY, AMELIA COURT HOUSE, VA 23002-4700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204786
VA
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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