Organization
NORTH BEACH ENTERPRISES, INC.
Active
Other names
Shore Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN BUSS (VICE PRESIDENT)
(757) 965-3036
Entity
Organization
Contact information
Practice address
3271B MAIN ST., EXMORE, VA 23350-3901
(757) 442-7982
(757) 442-7985
Mailing address
PO BOX 1155, EXMORE, VA 23350-1155
(757) 442-7982
(757) 442-7985
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124361589
—
VA
Enumeration date
04/03/2013
Last updated
06/20/2025
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