Provider Demographics
NPI:1770890451
Name:PARIAG, PAULA (RPH)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:PARIAG
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 1:207 QUINTON OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:STEPHENS CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22655-3737
Mailing Address - Country:US
Mailing Address - Phone:540-514-5418
Mailing Address - Fax:
Practice Address - Street 1:335 CRYSTAL LN
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-2364
Practice Address - Country:US
Practice Address - Phone:540-465-3725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210149183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist