Individual
DAVID LANE BASS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
525 W 21ST ST, NORFOLK, VA 23517-1985
(757) 625-6073
Mailing address
2204 WINDWARD SHORE DR, VA BEACH, VA 23451-1728
(757) 577-1024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202010251
VA
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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