Provider Demographics
NPI:1346560919
Name:FORD-BRITT, TIFFANY MONIQUE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:MONIQUE
Last Name:FORD-BRITT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 PORTSMOUTH BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-2137
Mailing Address - Country:US
Mailing Address - Phone:757-465-5367
Mailing Address - Fax:757-465-5912
Practice Address - Street 1:4300 PORTSMOUTH BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-2137
Practice Address - Country:US
Practice Address - Phone:757-465-5367
Practice Address - Fax:757-465-5912
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022067521835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist