Individual
MR. JAYKUMAR A AGARWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
833 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4871
(757) 382-9717
Mailing address
716 WILLOW BROOK RD, CHESAPEAKE, VA 23320-3563
(718) 440-5313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206806
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202206806
PHARMACIST LICENSE NUMBER
VA
Enumeration date
05/22/2007
Last updated
07/08/2007
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