Provider Demographics
NPI:1376278713
Name:SALYER, SONIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:
Last Name:SALYER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:
Other - Last Name:KENNEDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:206 NORWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24201-1922
Mailing Address - Country:US
Mailing Address - Phone:856-685-3552
Mailing Address - Fax:
Practice Address - Street 1:21483 MARKET CTR
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24202-1804
Practice Address - Country:US
Practice Address - Phone:276-466-4727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202220594183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist