Individual
ANNIE REBECCA MEHFOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25201 LANKFORD HWY, ONLEY, VA 23418-2821
(757) 787-1810
Mailing address
25201 LANKFORD HWY, ONLEY, VA 23418-2821
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006635
VA
183500000X
Pharmacist
02026635
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396846754
—
VA
Enumeration date
12/26/2020
Last updated
12/26/2020
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