Individual
JAY MICHAEL AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
317 E CHICKASAW RD, VIRGINIA BEACH, VA 23462-6229
(757) 871-4181
Mailing address
317 E CHICKASAW RD, VIRGINIA BEACH, VA 23462-6229
(757) 871-4181
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
0202007449
VA
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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