Provider Demographics
NPI:1023003175
Name:H & H PHARMACY
Entity Type:Organization
Organization Name:H & H PHARMACY
Other - Org Name:H AND H PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-336-3115
Mailing Address - Street 1:6300 MADDOX BLVD
Mailing Address - Street 2:
Mailing Address - City:CHINCOTEAGUE ISLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23336-2617
Mailing Address - Country:US
Mailing Address - Phone:757-336-3115
Mailing Address - Fax:757-336-1947
Practice Address - Street 1:6300 MADDOX BLVD
Practice Address - Street 2:
Practice Address - City:CHINCOTEAGUE ISLAND
Practice Address - State:VA
Practice Address - Zip Code:23336-2617
Practice Address - Country:US
Practice Address - Phone:757-336-3115
Practice Address - Fax:757-336-1947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-14
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
VA02010019083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2102216OtherPK
MD407883700Medicaid
VA8502692Medicaid
MD407883700Medicaid