Individual
MONICA NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15069 FOREST RD, FOREST, VA 24551-3900
(434) 534-0020
Mailing address
205 CAPITAL ST UNIT 106, LYNCHBURG, VA 24502-5168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211513
VA
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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