Individual
DIANA RAGAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N WASHINGTON ST, PHARMACY, FALLS CHURCH, VA 22046-4518
(703) 237-4000
Mailing address
201 N WASHINGTON ST, PHARMACY, FALLS CHURCH, VA 22046-4518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202212163
VA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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