Provider Demographics
NPI:1124039797
Name:SICAT, BRIGITTE LUONG (PHARMD)
Entity Type:Individual
Prefix:PROF
First Name:BRIGITTE
Middle Name:LUONG
Last Name:SICAT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 BELSTEAD CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-7114
Mailing Address - Country:US
Mailing Address - Phone:804-968-4453
Mailing Address - Fax:804-828-8359
Practice Address - Street 1:410 NORTH 12TH ST, SMITH BLDG
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298
Practice Address - Country:US
Practice Address - Phone:804-828-1220
Practice Address - Fax:804-828-8359
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022038541835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy