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Individual

MISS LORI MIJONG NAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
1201 BROAD ROCK BLVD, (652-119F), RICHMOND, VA 23249
(804) 675-5000
Mailing address
11516 BELVEDERE VISTA LN, #201, RICHMOND, VA 23235-4350
(240) 350-7033

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0202207217
VA

Other

Enumeration date
07/13/2006
Last updated
07/08/2007
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