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NPI Code Detail

MEDICARE: MRS. VALERIE WILLIAMS GARRETT RPH

MEDICARE: MRS. VALERIE WILLIAMS GARRETT RPH
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
1183500000XPharmacist0202007558VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10202007558OTHERVASTATE BOARD OF PHARMACY

General Provider Information

NPI Number : 1710983911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VALERIE WILLIAMS GARRETT RPH
Provider Business Mailing Address
First Line : 3010 SCHERER DR
Second Line :
City : RICHMOND
State : VA
Zip : 23235-2402
Country : US
Telephone Number : 804-272-7537
Fax Number :
Provider Business Practice Location Address
First Line : 1717 BELLEVUE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23227-3961
Country : US
Telephone Number : 804-264-1319
Fax Number : 804-264-2133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 07/08/2007

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