Tonya T Hanks

Individual provider Active NPI Pharmacist · Montross, VA

NPI 1730488172 · NPPES record last updated Nov 20, 2023

Key facts

NPI
1730488172
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
0202012198 (VA)
Practice address
18849 Kings Hwy
Montross, VA 22520
Phone
(804) 493-9999
Fax
(804) 493-7140
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0202012198VAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202012198 VA Yes

Addresses

Primary practice location

18849 Kings Hwy
Montross, VA 22520

Mailing address

25892 N. James Madison Hwy
P.O Box 220
New Canton, VA 23123
Phone (804) 493-9505

Other providers in Montross, VA

All providers in Montross, VA · Pharmacist in Virginia

Sources for this page

Verify at the official NPI Registry.