Healthcare Provider Details

I. General information

NPI: 1982781605
Provider Name (Legal Business Name): VIRGINIA SUSAN TORRISE PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3316 ALBION CT
FAIRFAX VA
22031-3001
US

IV. Provider business mailing address

3316 ALBION CT
FAIRFAX VA
22031-3001
US

V. Phone/Fax

Practice location:
  • Phone: 202-273-8427
  • Fax: 202-273-9067
Mailing address:
  • Phone: 202-273-8427
  • Fax: 202-273-9067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 37344
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: