Organization
PENINSULA HEALTH CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HASKELL TRUMP MD MPH (DISTRICT HEALTH DIRECTOR)
(757) 594-7305
Entity
Organization
Contact information
Practice address
416 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601
(757) 594-7431
(757) 594-7199
Mailing address
416 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601
(757) 594-7431
(757) 594-7199
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
0201000510
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4807383
NABP
—
05
—
8507864
—
VA
Enumeration date
11/01/2006
Last updated
12/19/2007
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