| Jea Yeon Shin, | |
|
12445 Hedges Run Dr, Lake Ridge, VA 22192-1715 | |
| (703) 491-7694 | |
| (844) 411-6529 |
| Full Name | Jea Yeon Shin |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 12445 Hedges Run Dr, Lake Ridge, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891396735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 0202205854 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jea Yeon Shin, 12445 Hedges Run Dr, Lake Ridge, VA 22192-1715 Ph: (703) 491-7694 | Jea Yeon Shin, 12445 Hedges Run Dr, Lake Ridge, VA 22192-1715 Ph: (703) 491-7694 |
Thao Phuong Nguyen, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 12445 Hedges Run Dr, Lake Ridge, VA 22192 Phone: 703-491-7694 Fax: 844-411-8529 | |
Sana Syed, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 12445 Hedges Run Dr, Lake Ridge, VA 22192 Phone: 703-491-7694 |