Healthcare Provider Details

I. General information

NPI: 1588737274
Provider Name (Legal Business Name): DEBRA KAYE ORLEY RPH,PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 STATE ST BISMARCK VETERANS CLINIC
BISMARCK ND
58503-0669
US

IV. Provider business mailing address

320 NAPA LOOP
BISMARCK ND
58504-7420
US

V. Phone/Fax

Practice location:
  • Phone: 701-221-9152
  • Fax: 701-221-0918
Mailing address:
  • Phone: 701-221-9152
  • Fax: 701-221-0918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3680
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: