Individual
MICHELLE HARBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4310 FORTUNA CENTER PLZ, T-2017, DUMFRIES, VA 22025-1538
(703) 586-6133
(703) 586-6846
Mailing address
4310 FORTUNA CENTER PLZ, T-2017, DUMFRIES, VA 22025-1538
(703) 586-6133
(703) 586-6846
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205805
VA
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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