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Organization
SHORE HEALTH SVC INC
Active
Organization
SHORE HEALTH SVC INC
Active
Other names
SHORE MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DAVIS (DIRCTR)
(757) 414-8667
Entity
Organization
Contact information
Practice address
9507 HOSPITAL AVE, NASSAWADOX, VA 23413
(757) 414-8781
(757) 442-6295
Mailing address
9507 HOSPITAL AVE, NASSAWADOX, VA 23413
(757) 414-8781
(757) 442-6295
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
0201001224
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2103118
PK
—
05
—
4900375
—
VA
Enumeration date
08/11/2006
Last updated
04/21/2016
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