Individual
NORVIR PANAGUITON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0284
Mailing address
1920 CENTERVILLE TPKE, VIRGINIA BEACH, VA 23464-6800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012218
VA
Other
Enumeration date
02/01/2006
Last updated
07/08/2007
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