Provider Demographics
NPI:1417234881
Name:DYER, EMILY LORRAINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:LORRAINE
Last Name:DYER
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 1:1542 MONTESSORI TER
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-3564
Mailing Address - Country:US
Mailing Address - Phone:434-284-1662
Mailing Address - Fax:
Practice Address - Street 1:3479 SEMINOLE TRL
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-5637
Practice Address - Country:US
Practice Address - Phone:434-964-1082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-13
Last Update Date:2011-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist