Individual
MR. CHAD MICHAEL KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.P H
Contact information
Practice address
5237 PROVIDENCE RD, VIRGINIA BEACH, VA 23464-4201
(757) 495-3016
Mailing address
2529 NESTLEBROOK TRL, VIRGINIA BEACH, VA 23456-8298
(757) 301-2828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204396
VA
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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