Healthcare Provider Details

I. General information

NPI: 1558290973
Provider Name (Legal Business Name): CRYSTAL-LUBA NONDUMISO MHLOPHE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2228 PAPERMILL RD STE E
WINCHESTER VA
22601-3681
US

IV. Provider business mailing address

2228 PAPERMILL RD STE E
WINCHESTER VA
22601-3681
US

V. Phone/Fax

Practice location:
  • Phone: 540-723-6883
  • Fax:
Mailing address:
  • Phone: 540-723-6883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202223570
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: