Provider Demographics
NPI:1477834083
Name:RUBIN, JACQUELINE YAO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:YAO
Last Name:RUBIN
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 1:3965 HOLLAND RD
Mailing Address - Street 2:PHARMACY
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-2804
Mailing Address - Country:US
Mailing Address - Phone:757-306-9255
Mailing Address - Fax:757-306-9344
Practice Address - Street 1:3965 HOLLAND RD
Practice Address - Street 2:PHARMACY
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-2804
Practice Address - Country:US
Practice Address - Phone:757-306-9255
Practice Address - Fax:757-306-9344
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202206371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist