Provider Demographics
NPI:1942591417
Name:VIERS, NANCY MICHELE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:MICHELE
Last Name:VIERS
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 1:1496 STRIP BENCH RD
Mailing Address - Street 2:
Mailing Address - City:VANSANT
Mailing Address - State:VA
Mailing Address - Zip Code:24656-8551
Mailing Address - Country:US
Mailing Address - Phone:276-935-2789
Mailing Address - Fax:276-935-7739
Practice Address - Street 1:20822 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:GRUNDY
Practice Address - State:VA
Practice Address - Zip Code:24614-9597
Practice Address - Country:US
Practice Address - Phone:276-935-2789
Practice Address - Fax:276-935-7739
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202011754183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist