Organization
VRX1 LLC
Active
Other names
HAGUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VISHRUT PATEL I (MANAGER)
(757) 285-6001
Entity
Organization
Contact information
Practice address
400 GRESHAM DR, SUITE 104, NORFOLK, VA 23507-1901
(757) 622-0222
Mailing address
6084 CHARLEYCOTE DR, RALEIGH, NC 27614-9589
(757) 285-6001
(919) 207-1032
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
0201-002286
VA
3336C0004X
Compounding Pharmacy
0201-002286
VA
3336L0003X
Long Term Care Pharmacy
0201-002286
VA
3336S0011X
Specialty Pharmacy
Primary
0201-002286
VA
Other
Enumeration date
12/28/2016
Last updated
04/05/2017
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