Individual
DARELLE BENS TABOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 COMMONWEALTH CENTRE PKWY, MIDLOTHIAN, VA 23112-2639
(804) 639-7395
Mailing address
4601 COMMONWEALTH CENTRE PKWY, MIDLOTHIAN, VA 23112-2639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218545
VA
183500000X
Pharmacist
27269
MD
1835G0303X
Geriatric Pharmacist
0202218545
VA
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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