Organization
PENINSULA INSTITUTE FOR COMMUNITY HEALTH
Active
Parent organization
PENINSULA INSTITUTE FOR COMMUNITY HEALTH
Other names
Pharmacy Care of Hampton Roads
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENINSULA INSTITUTE FOR COMMUNITY HEALTH
Authorized official
ANGELA FUTRELL (CHIEF EXECUTIVE OFFICER)
(757) 591-0643
Entity
Organization
Contact information
Practice address
1033 28TH ST, 2ND FLOOR, NEWPORT NEWS, VA 23607-4233
(757) 952-0176
(757) 952-0181
Mailing address
1033 28TH ST, 2ND FLOOR, NEWPORT NEWS, VA 23607-4233
(757) 952-0176
(757) 952-0181
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201004012
PHARMACY PERMIT
VA
Enumeration date
06/07/2006
Last updated
03/07/2023
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