Provider Demographics
NPI:1356636526
Name:NEILER, FREDA KATHRYN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FREDA
Middle Name:KATHRYN
Last Name:NEILER
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 1:1200 EDWARDS FERRY RD NE
Mailing Address - Street 2:T-1874
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-3318
Mailing Address - Country:US
Mailing Address - Phone:703-777-8059
Mailing Address - Fax:703-777-8059
Practice Address - Street 1:1200 EDWARDS FERRY RD NE
Practice Address - Street 2:T-1874
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-3318
Practice Address - Country:US
Practice Address - Phone:703-777-8059
Practice Address - Fax:703-777-8059
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208478183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist