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MARYVIEW OUTPATIENT PHARMACY NPI 1255395968


NPI Information

NPI: 1255395968
Provider Name: MARYVIEW OUTPATIENT PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3636 HIGH ST
PORTSMOUTH, VA
ZIP 23707
Phone: (757) 398-2245
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MARYVIEW OUTPATIENT PHARMACY is a pharmacy in Portsmouth, VA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MARYVIEW OUTPATIENT PHARMACY NPI is 1255395968. The provider is registered as an organization entity type.

The provider's business location address is:

3636 HIGH ST
PORTSMOUTH, VA
ZIP 23707-236
Phone: (757) 398-2245
Fax: (757) 393-7511

The provider's authorized official is Klista C Najewicz .
The authorized official title is Pharmacist In Charge and has the following contact phone number (757) 398-2245.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 6/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy0201003256VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008572011MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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