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Organization

PRECISION PHARMACY LLC

Active
Other names
GenX Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA CRAVEN (PIC, AO)
(757) 656-6460
Entity
Organization

Contact information

Practice address
1101 EXECUTIVE BLVD, SUITE A, CHESAPEAKE, VA 23320-3634
(757) 656-6560
(757) 410-1799
Mailing address
1101 EXECUTIVE BLVD, SUITE A, CHESAPEAKE, VA 23320
(757) 656-6560
(757) 410-1799

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
0201004699
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033563226
VA
01
2164417
PK
Enumeration date
04/14/2016
Last updated
07/19/2018
About Stedi
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