Organization
THE COMMUNITY FREE CLINIC OF NEWPORT NEWS
Active
Other names
The Community Free Clinic of Newport News
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LOGUE (PHARMACIST)
(757) 876-6060
Entity
Organization
Contact information
Practice address
727 25TH ST, NEWPORT NEWS, VA 23607-4601
(757) 594-4060
(757) 594-4257
Mailing address
727 25TH ST, NEWPORT NEWS, VA 23607-4601
(757) 594-4060
(757) 594-4257
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004399
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145725
PK
—
Enumeration date
05/16/2014
Last updated
05/16/2014
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