Full Name | |
---|---|
Speciality | Clinic/center - Student Health |
Location | 1 Gooch Dr, Williamsburg, Virginia |
Authorized Official Name and Position | Maureen Bounds (PHARMACIST IN CHARGE) |
Authorized Official Contact | 7572212190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1 Gooch Dr Williamsburg VA 23185 Ph: (757) 221-2190 | 1 Gooch Dr Williamsburg VA 23185 Ph: (757) 221-2190 |
NPI Number | 1023303757 |
---|---|
Provider Enumeration Date | 06/10/2011 |
Last Update Date | 06/10/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023303757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | 0201001314 (Virginia) | Primary |
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