Provider Demographics
NPI:1568063444
Name:RAPP, DIANA EASTER (RPH)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:EASTER
Last Name:RAPP
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 1:975 HILTON HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-8394
Mailing Address - Country:US
Mailing Address - Phone:434-973-1819
Mailing Address - Fax:434-973-1842
Practice Address - Street 1:975 HILTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-8394
Practice Address - Country:US
Practice Address - Phone:434-973-1819
Practice Address - Fax:434-973-1842
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02020099144183500000X
VA0202009144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist