Individual provider · NPI-1

Beulah Monique Gaines

Pharmacy Technician · Norfolk, VA

NPI number1386239176
StatusActive
Last updated in NPPESMar 4, 2021

Details

NPI
1386239176
Entity type
Individual (NPI-1)
Name
Mrs. Beulah Monique Gaines
Sex
Female
Sole proprietor
No
Enumeration date
Mar 4, 2021
Certification date
Mar 4, 2021
Last updated
Mar 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technician0230003742VAYes

Practice location

7530 Tidewater Dr
Norfolk, VA 23505-3717

Phone 757-480-3051 · Fax 757-480-3068

Mailing address

7530 Tidewater Dr
Norfolk, VA 23505-3717

Phone 757-480-3051 · Fax 757-480-3068

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