Individual
MISS OLIVIA KATE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3600 TIDEWATER DR, NORFOLK, VA 23509-1436
(757) 623-2706
Mailing address
125 RUNAWAY BAY DR APT 105, VIRGINIA BEACH, VA 23452-8110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213273
VA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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