Organization
CMM ENTERPRISES LLC
Active
Other names
Harbour View Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IGNATIUS COMBRINK (OWNER, PIC, AO)
(757) 394-1870
Entity
Organization
Contact information
Practice address
5839 HARBOUR VIEW BLVD STE 102, SUFFOLK, VA 23435-2657
(757) 394-1870
(757) 394-1873
Mailing address
2002 WATERS EDGE LN, SUFFOLK, VA 23435-2857
(757) 287-5220
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004658
VA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871986240
—
VA
01
—
2150813
PK
—
Enumeration date
03/10/2015
Last updated
03/29/2016
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