Organization
SEASIDE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG ROTH RPH (PHARMACIST IN CHARGE)
(757) 937-9548
Entity
Organization
Contact information
Practice address
1630 DONNA DR STE 103, VIRGINIA BEACH, VA 23451-6188
(757) 937-9548
Mailing address
1630 DONNA DR STE 103, VIRGINIA BEACH, VA 23451-6188
(757) 937-9548
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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