Individual
MRS. JILL OMALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH, PORTSMOUTH, VA 23708
(804) 240-1999
Mailing address
PO BOX 9774, RICHMOND, VA 23228-0774
(804) 240-1999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211377
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456789
OTHER
VA
Enumeration date
12/15/2016
Last updated
04/17/2017
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