| Doctor Name: | ALICIA VANVALKENBURGH |
| NPI Number: | 1649669524 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 19426 |
| Business Practice Address: | 4711 New Centre Dr Wilmington, NC - 284053442 |
| Business Phone Number: | 9103950749 |
| Business Fax Number: | 9104735546 |
| Mailing Address: | 4711 New Centre Dr, WILMINGTON |
| State: | NC |
| Postal Code: | 284053442 |
| Phone Number: | 9103950749 |
| Fax Number: | 9104735546 |
| NPI Enumeration Date: | 01/15/2015 |
| NPI Last Update Date: | 01/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 19426 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |