Individual
MS. GEORGIA IRENE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4601 IRONBOUND RD, EASTERN STATE HOSPITAL, WILLIAMSBURG, VA 23188-2652
(757) 253-5327
(757) 253-4521
Mailing address
146 JOHN ROLFE LN, WILLIAMSBURG, VA 23185-1428
(757) 565-3293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006340
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202006340
PHARMACIST LICENSE
VA
Enumeration date
07/28/2005
Last updated
02/19/2008
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