Individual
ANDREA STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42691 GALBRAITH SQ, BROADLANDS, VA 20148-4175
(973) 769-1953
Mailing address
42691 GALBRAITH SQ, BROADLANDS, VA 20148-4175
(973) 769-1953
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202206392
VA
1835G0303X
Geriatric Pharmacist
Primary
0202206392
VA
Other
Enumeration date
06/07/2018
Last updated
07/15/2025
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