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Organization

LAWRENCE HYDE CORPORATION

Active
Other names
LAWRENCE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS MERCER RPH (OWNER/PIC)
(757) 487-3458
Entity
Organization

Contact information

Practice address
1156 GEORGE WASHINGTON HWY N, CHESAPEAKE, VA 23323-4908
(757) 487-3458
(757) 487-4131
Mailing address
1156 GEORGE WASHINGTON HWY N, CHESAPEAKE, VA 23323-4908
(757) 487-3458
(757) 487-4131

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
0201000416
VA
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740388784
VA
01
2102423
PK
05
8504130
VA
Enumeration date
09/21/2006
Last updated
09/16/2016
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