Provider Demographics
NPI:1467473868
Name:DUNNING, BRIAN L (RPH)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:L
Last Name:DUNNING
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 CORPORATION LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3162
Mailing Address - Country:US
Mailing Address - Phone:757-552-7586
Mailing Address - Fax:757-687-6231
Practice Address - Street 1:4417 CORPORATION LN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3162
Practice Address - Country:US
Practice Address - Phone:757-552-7586
Practice Address - Fax:757-687-6231
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202009380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist