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NPI Code Detail

MEDICARE: MARTIN STEPHEN MESSERIAN PHARM D

MEDICARE: MARTIN STEPHEN MESSERIAN PHARM D
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
1183500000XPharmacist0202204287VA

General Provider Information

NPI Number : 1306130216
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN STEPHEN MESSERIAN PHARM D
Provider Business Mailing Address
First Line : 525 FIRST COLONIAL RD
Second Line : TARGET 1047 PHARMACY
City : VIRGINIA BEACH
State : VA
Zip : 23451-6119
Country : US
Telephone Number : 757-428-2666
Fax Number : 757-428-2666
Provider Business Practice Location Address
First Line : 525 FIRST COLONIAL RD
Second Line : TARGET 1047 PHARMACY
City : VIRGINIA BEACH
State : VA
Zip : 23451-6119
Country : US
Telephone Number : 757-428-2666
Fax Number : 757-428-2666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2011
Last Update Date : 06/08/2011

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Directions to “ MARTIN STEPHEN MESSERIAN PHARM D” Practice Location

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