Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ELISABETH THOMPSON PROVENZANO, RPH
Active Sole ProprietorMS. ELISABETH THOMPSON PROVENZANO, RPH is a Pharmacy healthcare provider located in WOODSTOCK, Virginia. NPI 1306437421 is currently active in the NPPES registry. Verify at CMS.
Pharmacy · WOODSTOCK, VA
Registration Details
- NPI Number
- 1306437421
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2021 (5.3427585045765 yrs)
- Last Updated
- Feb 1, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
221 W RESERVOIR RDWOODSTOCK, VA, 226641001Browse VA providers · Browse ZIP 22664
- Phone
- 5404598311
- Fax
- 5404594651
- Primary Specialty
-
Pharmacy
333600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.