Individual
MR. DOUGLAS COVENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
498 WYTHE CREEK RD, POQUOSON, VA 23662-1936
(757) 868-9261
(757) 868-7922
Mailing address
1236 MOZART DR, VIRGINIA BEACH, VA 23454-6625
(757) 636-2143
(757) 868-7922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009376
VA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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