Individual
DEBRA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2197
(757) 953-0258
Mailing address
623 SEA OATS WAY, VIRGINIA BEACH, VA 23451-4668
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH233648
MA
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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