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NPI Code Detail

MEDICARE: DONALD PATRICK DURKEE PHARMD

MEDICARE: DONALD PATRICK DURKEE PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202006456VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10202006456OTHERVAVIRGINIA PHARMACIST LICENSE

General Provider Information

NPI Number : 1295255891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD PATRICK DURKEE PHARMD
Provider Business Mailing Address
First Line : 4776 MARLBOROUGH DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-3037
Country : US
Telephone Number : 757-495-1246
Fax Number :
Provider Business Practice Location Address
First Line : 4776 MARLBOROUGH DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-3037
Country : US
Telephone Number : 757-495-1246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2017
Last Update Date : 06/23/2017

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