Provider Demographics
NPI:1174834550
Name:TOMA, HANY R (RPH)
Entity Type:Individual
Prefix:
First Name:HANY
Middle Name:R
Last Name:TOMA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13271 WARWICK BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-6721
Mailing Address - Country:US
Mailing Address - Phone:757-874-3047
Mailing Address - Fax:757-874-6067
Practice Address - Street 1:13271 WARWICK BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-6721
Practice Address - Country:US
Practice Address - Phone:757-874-3047
Practice Address - Fax:757-874-6067
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207316183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist