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NPI Code Detail

MEDICARE: MRS. HEDELIZA T PEAK R.PH.

MEDICARE: MRS. HEDELIZA T PEAK R.PH.
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
1183500000XPharmacist0202010122VA

General Provider Information

NPI Number : 1851603518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEDELIZA T PEAK R.PH.
Provider Business Mailing Address
First Line : 7601 GRANBY ST
Second Line :
City : NORFOLK
State : VA
Zip : 23505-2508
Country : US
Telephone Number : 757-489-1157
Fax Number : 757-489-2540
Provider Business Practice Location Address
First Line : 7601 GRANBY ST
Second Line :
City : NORFOLK
State : VA
Zip : 23505-2508
Country : US
Telephone Number : 757-489-1157
Fax Number : 757-489-2540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2010
Last Update Date : 07/11/2010

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Directions to “ MRS. HEDELIZA T PEAK R.PH.” Practice Location

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