Provider Demographics
NPI:1063483725
Name:DUNFORD, ALMA J (CPHT)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:J
Last Name:DUNFORD
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7059 W LEE HWY
Mailing Address - Street 2:P.O. BOX 830
Mailing Address - City:RURAL RETREAT
Mailing Address - State:VA
Mailing Address - Zip Code:24368-2933
Mailing Address - Country:US
Mailing Address - Phone:276-686-6266
Mailing Address - Fax:276-686-8229
Practice Address - Street 1:7059 W LEE HWY
Practice Address - Street 2:
Practice Address - City:RURAL RETREAT
Practice Address - State:VA
Practice Address - Zip Code:24368-2933
Practice Address - Country:US
Practice Address - Phone:276-686-6266
Practice Address - Fax:276-686-8229
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0230000589183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician