Organization
MARYVIEW OUTPATIENT PHARMACY
Active
Other names
Harness Health Pharmacy #510
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M RALSTON (VP REIMBURSEMENT)
(419) 996-5119
Entity
Organization
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2245
(757) 393-7511
Mailing address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2245
(757) 393-7511
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201003256
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008572011
—
VA
Enumeration date
04/12/2006
Last updated
05/30/2026
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