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NPI Code Detail

MEDICARE: MR. FAIZ OLEY JR RPH

MEDICARE: MR. FAIZ OLEY JR 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
1183500000XPharmacist0202010741VA

General Provider Information

NPI Number : 1790762367
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FAIZ OLEY JR RPH
Provider Business Mailing Address
First Line : 11067 WYNDHAM HILL RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23059-1755
Country : US
Telephone Number : 804-752-2750
Fax Number :
Provider Business Practice Location Address
First Line : 8903 THREE CHOPT RD
Second Line :
City : RICHMOND
State : VA
Zip : 23229-4614
Country : US
Telephone Number : 804-285-3428
Fax Number : 804-285-3617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 07/08/2007

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