Individual
DR. DEIDRE R PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1320 COLONIAL AVE, NORFOLK, VA 23517-2014
(757) 533-9360
(757) 533-9370
Mailing address
1320 COLONIAL AVE, NORFOLK, VA 23517-2014
(757) 533-9360
(757) 533-9370
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202208283
VA
183500000X
Pharmacist
Primary
RPH021413
GA
Other
Enumeration date
07/04/2011
Last updated
07/04/2011
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