Provider Demographics
NPI:1093157679
Name:FRANCIS, DARA NICOLE (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:DARA
Middle Name:NICOLE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:DARA
Other - Middle Name:NICOLE
Other - Last Name:CASTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 980
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:VA
Mailing Address - Zip Code:24283-0980
Mailing Address - Country:US
Mailing Address - Phone:276-762-5011
Mailing Address - Fax:
Practice Address - Street 1:16435 WISE ST.
Practice Address - Street 2:
Practice Address - City:ST. PAUL
Practice Address - State:VA
Practice Address - Zip Code:24283
Practice Address - Country:US
Practice Address - Phone:276-762-5011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202212368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist