Individual
DR. KATHRYN MICHELE FOUNTAIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1601 WILLOW LAWN DR, PHARMACY, RICHMOND, VA 23230-3427
(804) 288-3748
(804) 288-4027
Mailing address
8779 BRAYS FORK DR, GLEN ALLEN, VA 23060-3693
(804) 755-4371
(804) 288-4027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206387
VA
Other
Enumeration date
08/26/2005
Last updated
07/08/2007
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