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NPI Code Detail

MEDICARE: MS. AMY COLOMBO

MEDICARE: MS. AMY COLOMBO
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
1183500000XPharmacist0202209104VA

General Provider Information

NPI Number : 1154619468
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY COLOMBO
Provider Business Mailing Address
First Line : 7107 FOREST HILL AVENUE
Second Line : TARGET 1931
City : RICHMOND
State : VA
Zip : 23225-1501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7107 FOREST HILL AVENUE
Second Line : TARGET 1931
City : RICHMOND
State : VA
Zip : 23225-1501
Country : US
Telephone Number : 804-330-3526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2011
Last Update Date : 07/20/2011

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Directions to “ MS. AMY COLOMBO ” Practice Location

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