Individual
LISA MARY HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
550 CELEBRATE VA PKWY, FREDERICKSBURG, VA 22406-7292
(540) 286-1722
Mailing address
5369 CLEBURNE LN, WOODBRIDGE, VA 22192-6035
(703) 590-5637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006875
VA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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