Individual
MR. JEFFREY H BAQUIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4821 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462
(757) 278-2011
(757) 278-2005
Mailing address
PO BOX 8182, VIRGINIA BEACH, VA 23450
(757) 576-5427
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
390101070258508
VA
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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