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1821013624
LORI MIJONG NAM
RICHMOND, VA
NPI
1821013624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1835P1200X Pharmacist Pharmacotherapy
(Licence: VA 0202207217)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
MISS LORI MIJONG NAM PHARM.D.
1201 BROAD ROCK BLVD (652-119F)
RICHMOND, VA 23249
Phone number: 804-675-5000
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Mailing Address
MISS LORI MIJONG NAM PHARM.D.
11516 BELVEDERE VISTA LN #201
RICHMOND, VA 23235-4350
Phone number: 240-350-7033
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