Provider Demographics
NPI:1780686634
Name:HAVRDA, DAWN ELAINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:ELAINE
Last Name:HAVRDA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:117 JULASAR DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-4359
Mailing Address - Country:US
Mailing Address - Phone:540-542-0266
Mailing Address - Fax:540-665-1283
Practice Address - Street 1:1867 AMHERST ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2801
Practice Address - Country:US
Practice Address - Phone:540-667-8724
Practice Address - Fax:540-662-5638
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022064881835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy