Organization
SHORE HEALTH SVC INC
Active
Other names
SHORE MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DAVIS (DIRCTR)
(757) 414-8667
Entity
Organization
Contact information
Practice address
9507 HOSPITAL AVE, NASSAWADOX, VA 23413
(757) 414-8781
(757) 442-6295
Mailing address
9507 HOSPITAL AVE, NASSAWADOX, VA 23413
(757) 414-8781
(757) 442-6295
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
0201001224
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2103118
PK
—
05
—
4900375
—
VA
Enumeration date
08/11/2006
Last updated
04/21/2016
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