Individual
PETER AGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B. PHARM
Contact information
Practice address
1101 NIMMO PKWY, VIRGINIA BEACH, VA 23456-7730
(757) 427-1655
(757) 427-1514
Mailing address
1101 NIMMO PARKWAY, VIRGINIA BEACH, VA 23456
(757) 427-1655
(757) 427-1514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207953
VA
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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