Provider Demographics
NPI:1467055335
Name:IRBY, DANIELLE (RPH)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:IRBY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:HEPBURN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4630 MONTICELLO AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-8200
Mailing Address - Country:US
Mailing Address - Phone:757-564-9835
Mailing Address - Fax:757-603-4448
Practice Address - Street 1:4630 MONTICELLO AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-8200
Practice Address - Country:US
Practice Address - Phone:757-564-9835
Practice Address - Fax:757-603-4448
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202217943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist