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Organization
COMMONWEALTH OF VIRGINIA SOUTHEASTERN VIRGINIA TRAINING CENTER PHARMAC
Active
Organization
COMMONWEALTH OF VIRGINIA SOUTHEASTERN VIRGINIA TRAINING CENTER PHARMAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER R. DAUER (DIRECTOR OF PHARMACY)
(757) 424-8526
Entity
Organization
Contact information
Practice address
2100 STEPPINGSTONE SQ, CHESAPEAKE, VA 23320-2517
(757) 424-8256
(757) 424-8310
Mailing address
4601 IRONBOUND RD, PO BOX 8791, WILLIAMSBURG, VA 23188-2648
(757) 253-4808
(757) 253-4800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0201003416
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008502137
—
VA
Enumeration date
07/11/2005
Last updated
07/24/2008
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