Organization
PMR VIRGINIA HOLDING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CHEN (OWNER)
(305) 628-6117
Entity
Organization
Contact information
Practice address
49 W MERCURY BLVD, HAMPTON, VA 23669-2508
(757) 269-9980
Mailing address
49 W MERCURY BLVD, HAMPTON, VA 23669-2508
(757) 269-9980
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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