Individual
HERRMANN BANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
810 W 21ST ST, NORFOLK, VA 23517-1514
(757) 623-7213
(757) 623-7216
Mailing address
810 W 21ST ST, NORFOLK, VA 23517-1514
(757) 623-7213
(757) 623-7216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202005634
VA
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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