Healthcare Provider Details

I. General information

NPI: 1093850232
Provider Name (Legal Business Name): PATIENT FIRST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 09/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 DENBIGH BLVD PATIENT FIRST
NEWPORT NEWS VA
23608
US

IV. Provider business mailing address

5000 COX RD STE 100
GLEN ALLEN VA
23060-9263
US

V. Phone/Fax

Practice location:
  • Phone: 757-283-8300
  • Fax: 757-283-8301
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number0213000985
License Number StateVA

VIII. Authorized Official

Name: MARVIN BRIDGERS
Title or Position: DIRECTOR OF PHARMACY SERVICES
Credential: RPH
Phone: 804-968-5700