Individual
MR. JERRY GLENN HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
107 PARK AVE, FALLS CHURCH, VA 22046-4308
(703) 536-4042
(703) 536-4432
Mailing address
200 N PICKETT ST, #709, ALEXANDRIA, VA 22304-2120
(703) 536-4042
(703) 536-4432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202004324
VA
Other
Enumeration date
08/13/2006
Last updated
05/10/2026
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