Individual
PATRICIA M D'ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
307 YOAKUM PKWY, UNIT 1123, ALEXANDRIA, VA 22304-4051
(703) 751-0005
Mailing address
307 YOAKUM PKWY, UNIT 1123, ALEXANDRIA, VA 22304-4051
(703) 751-0005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP-035269-L
PA
1835G0303X
Geriatric Pharmacist
RP-035269-L
PA
Other
Enumeration date
05/03/2007
Last updated
01/19/2012
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