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Organization

GARDENS PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. REBECCA BOYETTE CRAVEN RPH (PHARMACIST IN CHARGE)
(757) 567-0798
Entity
Organization

Contact information

Practice address
1101 EXECUTIVE BLVD, SUITE A, CHESAPEAKE, VA 23320-3634
(757) 656-6460
(757) 410-1799
Mailing address
1101 EXECUTIVE BLVD, SUITE A, CHESAPEAKE, VA 23320-3634
(757) 656-6460
(757) 410-1799

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004651
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0201004651
STATE PERMIT NUMBER
VA
Enumeration date
06/15/2015
Last updated
05/31/2016
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