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Peter Agene, B. Pharm

Pharmacist in Virginia Beach, VA. Individual provider (NPI-1).

NPI number1215219787
StatusActive
Last updated in NPPESSep 12, 2011

Details

NPI
1215219787
Entity type
Individual (NPI-1)
Name
Peter Agene
Credential
B. Pharm
Sex
Male
Sole proprietor
No
Enumeration date
Sep 12, 2011
Last updated
Sep 12, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist0202207953VAYes

Practice location

1101 Nimmo Pkwy
Virginia Beach, VA 23456-7730

Phone 757-427-1655 · Fax 757-427-1514

Mailing address

1101 Nimmo Parkway
Virginia Beach, VA 23456

Phone 757-427-1655 · Fax 757-427-1514

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