Organization
OME SHREE INC
Active
Other names
CAMPOSTELLA COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SANDIPKUMAR PATEL (SECRETARY)
(757) 373-8960
Entity
Organization
Contact information
Practice address
2709 CAMPOSTELLA RD STE K, CHESAPEAKE, VA 23324-3604
(757) 494-5960
Mailing address
2709 CAMPOSTELLA RD, SUITE K, CHESAPEAKE, VA 23324-3604
(757) 494-5960
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004321
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4841967
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/23/2009
Last updated
05/04/2010
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