Individual
SALLY MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7887
Mailing address
321 E MAIN ST UNIT 1012, NORFOLK, VA 23510-1785
(901) 319-3661
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
0202218896
VA
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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