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Eastern State Hospital
Long Term Care Pharmacy in Williamsburg, Virginia
NPI 1588764997

Eastern State Hospital is a Long Term Care Pharmacy based in Williamsburg, VA and is specialized in Long Term Care Pharmacy. Eastern State Hospital practices in Williamsburg, VA. The NPI Number for Eastern State Hospital is 1588764997 and holds a License No. (Virginia).

The current practice location address for Eastern State Hospital is 4601 Ironbound Rd, Williamsburg, VA and can be reached out via phone at 757-253-5241 and via fax at 757-253-5065.

Location: 4601 Ironbound Rd, Williamsburg, VA, 23188-2652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588764997
Provider Name
Eastern State Hospital
Credential
Provider Entity Type
Organization
Address
4601 Ironbound Rd, Williamsburg, VA, 23188-2652
Phone Number
757-253-5241
Fax Number
757-253-5065
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004811659 01 VA MEDICARE PART D
0010230314 05 VA
institution
Provider Business Practice Location Address Details
Address
4601 Ironbound Rd
City
Williamsburg
State
Virginia
Zip
23188-2652
Phone Number
757-253-5241
Fax Number
757-253-5065
person
Provider Business Mailing Address Details
Address
4601 Ironbound Rd
City
Williamsburg
State
Virginia
Zip
23188-2652
Phone Number
757-253-5241
Fax Number
757-253-5065
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
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Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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