Provider Demographics
NPI:1790762367
Name:JR, FAIZ OLEY (RPH)
Entity Type:Individual
Prefix:MR
First Name:FAIZ
Middle Name:OLEY
Last Name:JR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11067 WYNDHAM HILL RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-1755
Mailing Address - Country:US
Mailing Address - Phone:804-752-2750
Mailing Address - Fax:
Practice Address - Street 1:8903 THREE CHOPT RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4614
Practice Address - Country:US
Practice Address - Phone:804-285-3428
Practice Address - Fax:804-285-3617
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010741183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist