Provider Demographics
NPI:1780003541
Name:ORMAN, VIRGINIA HOLLEY (PHARM D)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:HOLLEY
Last Name:ORMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-7342
Mailing Address - Country:US
Mailing Address - Phone:843-821-1360
Mailing Address - Fax:843-821-0684
Practice Address - Street 1:1317 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-7342
Practice Address - Country:US
Practice Address - Phone:843-821-1360
Practice Address - Fax:843-821-0684
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14117183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist