Provider Demographics
NPI:1942640040
Name:DEGONIA, BRITTANY DELORA (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:DELORA
Last Name:DEGONIA
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 1:3813 GASKINS RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1436
Mailing Address - Country:US
Mailing Address - Phone:804-747-7787
Mailing Address - Fax:
Practice Address - Street 1:9268 CHAMBERLAYNE RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2806
Practice Address - Country:US
Practice Address - Phone:804-746-4347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202212241183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist