Individual
MALCOLM L HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
13007 WARWICK BLVD, NEWPORT NEWS, VA 23602-8315
(757) 882-1074
(757) 882-1075
Mailing address
13007 WARWICK BLVD, NEWPORT NEWS, VA 23602-8315
(757) 882-1074
(757) 882-1075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208009
VA
Other
Enumeration date
07/22/2010
Last updated
01/29/2015
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