Healthcare Provider Details

I. General information

NPI: 1710983911
Provider Name (Legal Business Name): VALERIE WILLIAMS GARRETT RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 BELLEVUE AVE
RICHMOND VA
23227-3961
US

IV. Provider business mailing address

3010 SCHERER DR
RICHMOND VA
23235-2402
US

V. Phone/Fax

Practice location:
  • Phone: 804-264-1319
  • Fax: 804-264-2133
Mailing address:
  • Phone: 804-272-7537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202007558
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: