Individual
MYMY THI DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23451-3441
(757) 437-0017
Mailing address
824 GREAT MARSH AVE, CHESAPEAKE, VA 23320-0660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217041
VA
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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