Breana E Askew

Individual provider Active NPI Community/Retail Pharmacy · Williamsburg, VA

NPI 1225793045 · NPPES record last updated Nov 5, 2021

Key facts

NPI
1225793045
Entity type
Individual (NPI type 1)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
0202219780 (VA)
Practice address
4511 John Tyler Hwy
Williamsburg, VA 23185-2415
Phone
(757) 941-1684
NPI assigned
Nov 5, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0202219780VAMDCommunity/Retail Pharmacy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0202219780 VA Yes

Addresses

Primary practice location

4511 John Tyler Hwy
Williamsburg, VA 23185-2415

Mailing address

3232 Poplar Ridge Dr
Gloucester, VA 23061-3249
Phone (757) 871-3948

Other providers in Williamsburg, VA

All providers in Williamsburg, VA · Community/Retail Pharmacy in Virginia

Sources for this page

Verify at the official NPI Registry.