Healthcare Provider Details

I. General information

NPI: 1811388226
Provider Name (Legal Business Name): VICTORIA GAIL JOURNIGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICTORIA GAIL GOSNEY

II. Dates (important events)

Enumeration Date: 02/07/2015
Last Update Date: 02/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 HOLT GARRISON PKWY
DANVILLE VA
24540-5947
US

IV. Provider business mailing address

218 LANSBURY DR
DANVILLE VA
24540-1951
US

V. Phone/Fax

Practice location:
  • Phone: 434-799-9951
  • Fax:
Mailing address:
  • Phone: 434-489-2725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number0230000520
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: