Provider Demographics
NPI:1659684769
Name:MIGDAL, JANE ANN M (BSPHARM PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JANE ANN
Middle Name:M
Last Name:MIGDAL
Suffix:
Gender:F
Credentials:BSPHARM PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8941 OX RD
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-3218
Mailing Address - Country:US
Mailing Address - Phone:703-690-5001
Mailing Address - Fax:703-690-5004
Practice Address - Street 1:8941 OX RD
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-3218
Practice Address - Country:US
Practice Address - Phone:703-690-5001
Practice Address - Fax:703-690-5004
Is Sole Proprietor?:No
Enumeration Date:2010-07-17
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003010183500000X
NJ28RI02690200183500000X
MD16507183500000X
PARP044681L183500000X
VA0202206170183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist