TIDEWATER DIVERSIFIED, INC.
Pharmacy at Kingsley Ln, Norfolk, VA

License number
Virginia 0201002601
Category
Pharmacy
Type
Pharmacist
Owner
Name: JAY LEVINE
Title: PHARMACY DIRECTOR
Phone: (757) 278-2150
Address
Address
155 Kingsley Ln STE 125, Norfolk, VA 23505
National Provider ID: 1275557860
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TIDEWATER DIVERSIFIED, INC. at bizstanding.com

Tidewater Diversified Inc

110 Kingsley Ln, Norfolk, VA 23505

Industry:
Ret Drugs/Sundries
Phone:
(757) 889-5255 (Phone)
Managers:
Jay Levine (Director Of Pharmacy Services),C. S. Kirkland Member, inactive,Liz Reyes Manager, inactive

BON SECOURS - TIDEWATER DIVERSIFIED, INC

150 Kingsley Ln, Norfolk, VA 23505

Registration:
May 13, 1987
State ID:
03035631
Business type:
Corporation
Agent:
Michael L Goodman

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