MEDICARE: MS. PILAR SEYRLEHNER R.PH.,M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0202010212	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0202010212	OTHER	VA	RPH LICENSE

General Provider Information

NPI Number	:	1295864429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PILAR SEYRLEHNER R.PH.,M.S.

Provider Business Mailing Address
First Line	:	2110 GREAT NECK SQ
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2202
Country	:	US
Telephone Number	:	757-481-5458
Fax Number	:	757-481-7417

Provider Business Practice Location Address
First Line	:	2110 GREAT NECK SQ
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2202
Country	:	US
Telephone Number	:	757-481-5458
Fax Number	:	757-481-7417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	11/11/2009

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