Provider Demographics
NPI:1467733493
Name:JANET, SCHRIE LAVAL (RPH)
Entity Type:Individual
Prefix:MS
First Name:SCHRIE
Middle Name:LAVAL
Last Name:JANET
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8609 TIDEWATER DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23503-5415
Mailing Address - Country:US
Mailing Address - Phone:757-583-2274
Mailing Address - Fax:757-583-5941
Practice Address - Street 1:8609 TIDEWATER DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23503-5415
Practice Address - Country:US
Practice Address - Phone:757-583-2274
Practice Address - Fax:757-583-5941
Is Sole Proprietor?:No
Enumeration Date:2011-09-04
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208134183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist