Individual
LORI DEHAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
190 CAMPUS BLVD, SUITE 110, WINCHESTER, VA 22601-2872
(540) 536-8899
Mailing address
190 CAMPUS BLVD, SUITE 110, WINCHESTER, VA 22601-2872
(540) 536-8899
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205728
VA
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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