Provider Demographics
NPI:1225123847
Name:EARLEY, BRENDA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:
Last Name:EARLEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13713 SWIFTROCK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-8738
Mailing Address - Country:US
Mailing Address - Phone:804-778-7233
Mailing Address - Fax:
Practice Address - Street 1:2576 GAYTON CENTRE DR
Practice Address - Street 2:FAMILY CARE PHARMACY
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23238-6912
Practice Address - Country:US
Practice Address - Phone:804-740-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202005470183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist