Provider Demographics
NPI:1053461269
Name:H & H PHARMACY
Entity Type:Organization
Organization Name:H & H PHARMACY
Other - Org Name:H AND H PHARMACY OAK HALL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP 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 1:7001 LANKFORD HWY
Practice Address - Street 2:
Practice Address - City:OAK HALL
Practice Address - State:VA
Practice Address - Zip Code:23416-2223
Practice Address - Country:US
Practice Address - Phone:757-824-4477
Practice Address - Fax:757-824-4011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
VA02010041353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2106172OtherPK
MD013206300Medicaid
VA010410576Medicaid