Healthcare Provider Details

I. General information

NPI: 1932906815
Provider Name (Legal Business Name): VIRGINIA ONCOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 BRIDGE RD FL 4
SUFFOLK VA
23435-1107
US

IV. Provider business mailing address

6350 CENTER DR STE 200
NORFOLK VA
23502-4107
US

V. Phone/Fax

Practice location:
  • Phone: 757-213-5714
  • Fax: 757-873-9859
Mailing address:
  • Phone: 757-905-5558
  • Fax: 757-213-5762

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 Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PAUL WOODSON TOWLER
Title or Position: MANAGER, PHARMACY SERVICES
Credential: RPH
Phone: 757-213-5714