Provider Demographics
NPI:1053905729
Name:GIERING, AUDREY CHASTAIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AUDREY
Middle Name:CHASTAIN
Last Name:GIERING
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 1:3004 TYRE NECK RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-4504
Mailing Address - Country:US
Mailing Address - Phone:757-338-5854
Mailing Address - Fax:
Practice Address - Street 1:5829 HIGH ST W
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-4503
Practice Address - Country:US
Practice Address - Phone:757-686-6980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202204715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist