Peninsula Health Center Pharmacy in Newport News - Clinic Pharmacy

Peninsula Health Center Pharmacy - NPI 1063590073

Peninsula Health Center Pharmacy is a Clinic Pharmacy in Newport News, Virginia. Peninsula Health Center Pharmacy practices all healthcare services and medical treatments related to Clinic Pharmacy. The NPI Number for Peninsula Health Center Pharmacy is 1063590073. The last update date is 2007-12-19.

Peninsula Health Center Pharmacy's current location address is 416 J Clyde Morris Blvd, Newport News, Virginia. You can contact this provider via phone number 7575947431 and fax number 7575947199. The mailing address for Peninsula Health Center Pharmacy is 416 J Clyde Morris Blvd, Newport News, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Peninsula Health Center Pharmacy
Address 416 J Clyde Morris Blvd, Newport News, Virginia
Phone Number 7575947431
Fax Number 7575947199
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DISTRICT H
Authorized Official Name Trump Haskell David
Credentials MD MPH
Telephone Number 7575947305

NPI Number Detail

NPI Number 1063590073
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-12-19

Provider Mailing Address Detail

Address 416 J Clyde Morris Blvd
City Newport News
State Virginia (VA)
Post Code 23601
Phone Number 7575947431
Fax Number 7575947199

Provider's Primary Taxonomy Detail

Speciality Clinic Pharmacy
Taxonomy 3336C0002X
Licence No 201000510
Definition:
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4807383 NABP
8507864 VA --

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FAQs about Peninsula Health Center Pharmacy

What is the Peninsula Health Center Pharmacy's 1063590073?

The Peninsula Health Center Pharmacy's NPI (National Provider Identifier) Number is 1063590073. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Peninsula Health Center Pharmacy's physical address?

The Peninsula Health Center Pharmacy is physically located at 416 J Clyde Morris Blvd, in the city of Newport News, VA, with the postal code 23601.

What is the Peninsula Health Center Pharmacy's specialty and taxonomy code?

The Peninsula Health Center Pharmacy's specialty is Clinic Pharmacy, and the corresponding taxonomy code is 3336C0002X.

On what date did the Centers for Medicare & Medicaid Services issue the 1063590073 to Peninsula Health Center Pharmacy?

The Peninsula Health Center Pharmacy received its 1063590073 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.

When was the information regarding Peninsula Health Center Pharmacy most recently updated?

The details pertaining to the Peninsula Health Center Pharmacy, including its address, specialty, and other relevant information, were last refreshed on 2007-12-19.

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