Organization
KEMPSVILLE BEHAVIORAL HEALTH PHARMACY
Active
Other names
Kempsville Behavioral Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 382-3319
Entity
Organization
Contact information
Practice address
860 KEMPSVILLE RD, NORFOLK, VA 23502
(757) 455-0325
(757) 455-0301
Mailing address
860 KEMPSVILLE RD, NORFOLK, VA 23502
(757) 455-0325
(757) 455-0301
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201004995
STATE PERMIT
VA
Enumeration date
03/18/2022
Last updated
04/11/2022
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