Individual
EBONI CHARICE MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
7601 GRANBY ST, NORFOLK, VA 23505-2508
(757) 489-1157
Mailing address
248 COVENTRY CLOSE APT 204, CHESAPEAKE, VA 23320-4661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216031
VA
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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