Organization
CENTER FOR MEDICATION THERAPY MANAGEMENT & OUTCOMES RESEARCH
Active
Parent organization
HAMPTON UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAMPTON UNIVERSITY
Authorized official
DR. DAVID OMBENGI PHARM.D., MBA, MPH (ASSISTANT PROFESSOR/DIRECTOR)
(757) 727-5455
Entity
Organization
Contact information
Practice address
19 INDIAN RD, PHARMACY ANNEX, HAMPTON, VA 23669-5420
(757) 727-5000
(757) 727-5840
Mailing address
19 INDIAN RD, PHARMACY ANNEX, HAMPTON, VA 23669-0001
(757) 727-5000
(757) 727-5840
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0201004569
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201004569
STATE BOARD PRACTICE LICENCE (PHARMACY)
VA
Enumeration date
04/28/2014
Last updated
04/28/2014
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