Provider Demographics
NPI:1063149425
Name:DROLLINGER, DIANE (PHARMD)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:DROLLINGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DIANE DROLLINGER
Mailing Address - Street 2:1351 SAPPHIRE DR. APT 118
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455
Mailing Address - Country:US
Mailing Address - Phone:718-986-6400
Mailing Address - Fax:
Practice Address - Street 1:4540 PRINCESS ANNE RD STE 117
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-7963
Practice Address - Country:US
Practice Address - Phone:757-467-4650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-05
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210730183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist