Vitto Amnathvong, PharmD
Pharmacist in Leesburg, VA. Individual provider (NPI-1).
NPI number1447884184
StatusActive
Last updated in NPPESMar 2, 2020
Details
- NPI
- 1447884184
- Entity type
- Individual (NPI-1)
- Name
- Vitto Amnathvong
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2020
- Certification date
- Mar 2, 2020
- Last updated
- Mar 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 0202214237 | VA | Yes |
Practice location
19500 Sandridge Way Ste 140Leesburg, VA 20176-3689
Phone 571-440-2401 · Fax 571-440-2405
Mailing address
8817 Sylvania StLorton, VA 22079-1612
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