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NPI Code Detail

MEDICARE: DR. MARY SCOTT WILLOUGHBY PHARMD.

MEDICARE: DR. MARY SCOTT WILLOUGHBY 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
1183500000XPharmacist0202205864VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10202205864OTHERVABOARD OF PHARMACY

General Provider Information

NPI Number : 1366746869
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY SCOTT WILLOUGHBY PHARMD.
Provider Business Mailing Address
First Line : 3507 W CARY ST
Second Line :
City : RICHMOND
State : VA
Zip : 23221-2728
Country : US
Telephone Number : 804-254-6400
Fax Number : 804-254-6402
Provider Business Practice Location Address
First Line : 3507 W CARY ST
Second Line :
City : RICHMOND
State : VA
Zip : 23221-2728
Country : US
Telephone Number : 804-254-6400
Fax Number : 804-254-6402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2010
Last Update Date : 08/24/2011

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Directions to “ DR. MARY SCOTT WILLOUGHBY PHARMD.” Practice Location

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