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NPI Code Detail

MEDICARE: MRS. BRENDA EARLEY RPH

MEDICARE:  MRS. BRENDA  EARLEY  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202005470VA

General Provider Information

NPI Number : 1225123847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRENDA EARLEY RPH
Provider Business Mailing Address
First Line : 13713 SWIFTROCK RIDGE DR
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23838-8738
Country : US
Telephone Number : 804-778-7233
Fax Number :
Provider Business Practice Location Address
First Line : 2576 GAYTON CENTRE DR
Second Line : FAMILY CARE PHARMACY
City : RICHMOND
State : VA
Zip : 23238-6912
Country : US
Telephone Number : 804-740-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 11/01/2011

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Directions to “ MRS. BRENDA EARLEY RPH” Practice Location

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