Provider Demographics
NPI:1699384529
Name:BYRUM, TONYA RENEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:RENEE
Last Name:BYRUM
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 1:2515 LIVESAY RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-3518
Mailing Address - Country:US
Mailing Address - Phone:757-206-0154
Mailing Address - Fax:
Practice Address - Street 1:1301 FREDERICK BLVD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-4123
Practice Address - Country:US
Practice Address - Phone:757-337-5341
Practice Address - Fax:757-337-5342
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022187621835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist