Individual
JAY LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
160 KINGSLEY LN, NORFOLK, VA 23505-4600
(757) 889-6530
Mailing address
207 43RD ST, VIRGINIA BEACH, VA 23451-2503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006892
VA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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