Organization
MAO PHARMACY INC.
Active
Other names
Westwood Behavioral Health Pharmacy Chesapeake
Organization subpart
No
Provider details
NPI number
Authorized official
SHUBHRO PAL (VICE PRESIDENT OF OPERATIONS)
(804) 288-3620
Entity
Organization
Contact information
Practice address
224 GREAT BRIDGE BLVD STE 161B, CHESAPEAKE, VA 23320-3904
(757) 547-2247
(757) 547-2244
Mailing address
5823 PATTERSON AVE, RICHMOND, VA 23226-2536
(804) 288-1933
(804) 288-1510
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
0201004687
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158221
PK
—
Enumeration date
02/23/2016
Last updated
02/23/2016
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