Avery Gathers AVERY GATHERS

NPI 1760701759 - Pharmacist - 183500000X

NPI Details
NPI 1760701759
Gender Male
Enumeration Date 05/31/2010
Last Updated 05/31/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
525 W 21ST ST
NORFOLK VA, 23517-1985, US
Phone (757) 625-6073
Fax
Business Location
3537 CRIOLLO DR
VIRGINIA BEACH VA, 23453-2247, US
Phone (757) 468-1602
Fax
Toxanomy
Taxonomy Code 183500000X
License State Virginia
License Number 0201001461
Remove 1760701759 NPI Number
 

According to our database, Mr. Avery Gathers AVERY GATHERS NPI is 1760701759, taxonomy code is 183500000X and license number is 0201001461, license state is located at Virginia. Avery Gathers AVERY GATHERS physically located at 525 W 21st St, Norfolk VA, 23517-1985. NPI Number Avery Gathers AVERY GATHERS has the Individual type.

Sponsored links

1760701759 NPI number is provided on an as is basis without warranty of any kind. 1760701759 is maintained by the National Plan & Provider Enumeration System. The contents of Avery Gathers AVERY GATHERS are for informational purposes only.