Large-Fox, Autumn

Large-Fox, Autumn is an individual health care provider with primary practice located at 14 E 27Th St N Suite 1, Big Stone Gap VA 24219-3624. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Large-Fox, Autumn can be contacted via phone (276) 523-1713.

Contact Information

Primary practice address
14 E 27Th St N Suite 1 Big Stone Gap VA 24219-3624
Phone: (276) 523-1713
Fax: (276) 523-2931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202206469 Virginia
Pharmacy Service Providers / Pharmacist 183500000X 16915 North Carolina

Profile Details

NPI number 1861492845
LBN Legal business name Large-Fox, Autumn
Credentials RPH, PHARM.D., CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Aug 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861492845 NPPES
Virginia Other 0202206469 PHARMACIST LICENSE NUMBER
Virginia Other 16915 PHARMACIST LICENSE NUMBER

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