Provider Demographics
NPI:1366437436
Name:DYER, ANGELA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:DYER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4503 FITZHUGH AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3730
Mailing Address - Country:US
Mailing Address - Phone:804-213-0506
Mailing Address - Fax:
Practice Address - Street 1:6800 PARAGON PL
Practice Address - Street 2:SUITE 300
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1649
Practice Address - Country:US
Practice Address - Phone:804-678-2000
Practice Address - Fax:804-354-4655
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202206222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist