Individual
KAKNIKA LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4813 W MERCURY BLVD, HAMPTON, VA 23666-3727
(757) 826-2792
(757) 827-6350
Mailing address
211 DOVER RD, HAMPTON, VA 23666-2332
(757) 771-3760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211504
VA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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