IndividualActive
Kristine Conway, RPH, JD
NPI 1790828069 · Pharmacotherapy Pharmacist · Fairfax, VA
Provider details
- NPI number
- 1790828069
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- RPH, JD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0202008079 (VA)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
10623 Oliver St
Fairfax, VA 22030-3913
Phone: (703) 424-6312
Approximate (ZIP-level) locationGet directions
Mailing address
10623 Oliver St
Fairfax, VA 22030-3913
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2022-01-19
- Certified
- 2022-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.