Individual provider · Type 1 NPI

Russia Maria Tatum

Pharmacist · Woodbridge, VA

NPI number 1750986576 Active

Practice location

13600 Jefferson Davis Hwy
Woodbridge, VA 22191-2018

Mailing address

17000 Fairway View Ln
Upper Marlboro, MD 20772-3463

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0202219073 (VA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

4 other providers at this address

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About NPI 1750986576

Russia Maria Tatum's National Provider Identifier is 1750986576, issued on Dec 1, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Woodbridge, VA. The record was last updated on Dec 1, 2020.