Healthcare Provider Details

I. General information

NPI: 1841314531
Provider Name (Legal Business Name): GARY OLINGER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 W LEE HWY
CHILHOWIE VA
24319-5509
US

IV. Provider business mailing address

1019 ROGERS ST
CHILHOWIE VA
24319-5509
US

V. Phone/Fax

Practice location:
  • Phone: 276-646-2941
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202010424
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: