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NPI Code Detail

MEDICARE: DR. ABIGAIL SARPONG PHARMD

MEDICARE:  DR. ABIGAIL  SARPONG  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202209992VA

General Provider Information

NPI Number : 1093097164
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABIGAIL SARPONG PHARMD
Provider Business Mailing Address
First Line : 3176 TULIP TREE PL
Second Line :
City : DUMFRIES
State : VA
Zip : 22026-4554
Country : US
Telephone Number : 614-893-5626
Fax Number :
Provider Business Practice Location Address
First Line : 8414 OLD KEENE MILL RD UNIT A
Second Line :
City : SPRINGFIELD
State : VA
Zip : 22152-2302
Country : US
Telephone Number : 703-913-6712
Fax Number : 703-913-6718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2011
Last Update Date : 07/02/2016

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Directions to “ DR. ABIGAIL SARPONG PHARMD” Practice Location

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