MEDICARE: DR. ANGELA DYER PHARM. D.

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	0202206222	VA

General Provider Information

NPI Number	:	1366437436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA DYER PHARM. D.

Provider Business Mailing Address
First Line	:	4503 FITZHUGH AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-3730
Country	:	US
Telephone Number	:	804-213-0506
Fax Number	:

Provider Business Practice Location Address
First Line	:	6800 PARAGON PL
Second Line	:	SUITE 300
City	:	RICHMOND
State	:	VA
Zip	:	23230-1649
Country	:	US
Telephone Number	:	804-678-2000
Fax Number	:	804-354-4655

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	07/08/2007

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