Healthcare Provider Details

I. General information

NPI: 1578085288
Provider Name (Legal Business Name): LAUREN NICOLE FOX PACK PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2017
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 REPUBLIC RD
VIRGINIA BEACH VA
23454-4542
US

IV. Provider business mailing address

4816 HARBOR OAKS WAY
VIRGINIA BEACH VA
23455-1944
US

V. Phone/Fax

Practice location:
  • Phone: 757-422-4520
  • Fax:
Mailing address:
  • Phone: 717-381-5409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202215900
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202215900
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: