Healthcare Provider Details

I. General information

NPI: 1982927240
Provider Name (Legal Business Name): JULIA KESNER ROLLINS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 VIKING DR SUITE 310
VIRGINIA BEACH VA
23452-7349
US

IV. Provider business mailing address

800 MARYLAND AVE
VIRGINIA BEACH VA
23451-4515
US

V. Phone/Fax

Practice location:
  • Phone: 757-306-4487
  • Fax:
Mailing address:
  • Phone: 757-321-9155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202011769
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: