Healthcare Provider Details

I. General information

NPI: 1720762263
Provider Name (Legal Business Name): DYLASHIA RONEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 WESTOVER HILLS BLVD
RICHMOND VA
23225-4434
US

IV. Provider business mailing address

1214 WESTOVER HILLS BLVD
RICHMOND VA
23225-4434
US

V. Phone/Fax

Practice location:
  • Phone: 804-230-6335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number0245004488
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: