Individual
LATOYA RENEE PURYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 TOWNE CENTRE WAY, HAMPTON, VA 23666
(757) 896-0032
Mailing address
PO BOX 12193, NEWPORT NEWS, VA 23612-2193
(404) 630-8501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211158
VA
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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