Provider Demographics
NPI:1083878870
Name:HUBBARD, ALICIA ELIZABETH (PHARMD)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:ELIZABETH
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 LANKFORD HWY
Mailing Address - Street 2:
Mailing Address - City:OAK HALL
Mailing Address - State:VA
Mailing Address - Zip Code:23416-2223
Mailing Address - Country:US
Mailing Address - Phone:757-824-4011
Mailing Address - Fax:
Practice Address - Street 1:7001 LANKFORD HWY
Practice Address - Street 2:
Practice Address - City:OAK HALL
Practice Address - State:VA
Practice Address - Zip Code:23416-2223
Practice Address - Country:US
Practice Address - Phone:757-824-4477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202215944183500000X
TN0202215944183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist