Individual
JOSEPHINE KOOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14361 NEWBROOK DR, CHANTILLY, VA 20151-4228
(571) 525-5565
Mailing address
8911 VIRGINIA AVE, MANASSAS, VA 20110-6119
(571) 354-9135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202222484
VA
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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