Organization
SPARROW PHARMACY LLC
Active
Other names
Cavalier Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMMY OWEN (OWNER)
(757) 656-6460
Entity
Organization
Contact information
Practice address
1101 EXECUTIVE BLVD STE A, CHESAPEAKE, VA 23320-3634
(757) 656-6460
(757) 410-1799
Mailing address
1101 EXECUTIVE BLVD STE A, CHESAPEAKE, VA 23320-3634
(757) 656-6460
(757) 410-1799
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004761
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201004761
VIRGINIA BOARD OF PHARMACY
VA
Enumeration date
05/22/2017
Last updated
03/28/2019
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