Most Relevant Information
Provider Data
| NPI Number: | 1003402629 |
| Provider Name: | TIFFANY BETH MULLINS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: | 0230012735 |
Most Important Dates
| Enumeration Date: | 12/17/2020 |
| Last Updated: | 12/17/2020 |
Provider Practice Location
11231 INDIAN CREEK RD
POUND
VA
24279
Practice Location Phone/Fax
| Phone: | 2767962200 |
| Fax: | 2767962202 |
Provider Mailing Location
PO BOX 1480
POUND
VA
242791480
Provider Mailing Phone/Fax
| Phone: | 2767962200 |
| Fax: | 2767962202 |