Organization
SENTARA HOSPITALS
Active
Organization
SENTARA HOSPITALS
Active
Parent organization
SENTARA HEALTHCARE
Other names
Sentara Case Management Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENTARA HEALTHCARE
Authorized official
MR. ROBERT A BROERMANN (SVP/CFO)
(757) 455-7020
Entity
Organization
Contact information
Practice address
600 GRESHAM DRIVE, RETAIL PHARMACY, NORFOLK, VA 23507
(877) 349-5242
(757) 388-7835
Mailing address
6015 POPLAR HALL DR STE 200, NORFOLK, VA 23502-3819
(757) 455-7102
(757) 455-7919
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8502714
—
VA
Enumeration date
06/13/2017
Last updated
12/05/2022
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