Provider Demographics
NPI:1790915908
Name:MONTGOMERY, HONOR AMELIA LYNN (BS, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HONOR
Middle Name:AMELIA LYNN
Last Name:MONTGOMERY
Suffix:
Gender:F
Credentials:BS, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8903 THREE CHOPT RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4614
Mailing Address - Country:US
Mailing Address - Phone:804-285-3428
Mailing Address - Fax:804-285-3617
Practice Address - Street 1:8903 THREE CHOPT RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4614
Practice Address - Country:US
Practice Address - Phone:804-285-3428
Practice Address - Fax:804-285-3617
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208010183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist