Organization
COMMONWEALTH OF VIRGINIA SOUTHEASTERN VIRGINIA TRAINING CENTER PHARMAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER R. DAUER (DIRECTOR OF PHARMACY)
(757) 424-8526
Entity
Organization
Contact information
Practice address
2100 STEPPINGSTONE SQ, CHESAPEAKE, VA 23320-2517
(757) 424-8256
(757) 424-8310
Mailing address
4601 IRONBOUND RD, PO BOX 8791, WILLIAMSBURG, VA 23188-2648
(757) 253-4808
(757) 253-4800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0201003416
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008502137
—
VA
Enumeration date
07/11/2005
Last updated
07/24/2008
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