Provider Demographics
NPI:1164715744
Name:DINGER, SERENA JEAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SERENA
Middle Name:JEAN
Last Name:DINGER
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 1:1320 COLONIAL AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1253
Mailing Address - Country:US
Mailing Address - Phone:757-563-9360
Mailing Address - Fax:757-563-9370
Practice Address - Street 1:1320 COLONIAL AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1253
Practice Address - Country:US
Practice Address - Phone:757-563-9360
Practice Address - Fax:757-563-9370
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202209537183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist