Organization
PRECISION PHARMACY LLC
Active
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
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