Individual
KRISTINE E CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, JD
Contact information
Practice address
10623 OLIVER ST, FAIRFAX, VA 22030-3913
(703) 424-6312
Mailing address
10623 OLIVER ST, FAIRFAX, VA 22030-3913
(703) 424-6312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202008079
VA
183500000X
Pharmacist
18635
MD
183500000X
Pharmacist
PH100000516
DC
1835P1200X
Pharmacotherapy Pharmacist
Primary
0202008079
VA
1835P1200X
Pharmacotherapy Pharmacist
18635
MD
1835P1200X
Pharmacotherapy Pharmacist
PH100000516
DC
Other
Enumeration date
02/15/2007
Last updated
01/19/2022
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