Provider Demographics
NPI:1497760029
Name:DENBIGH DRUGS, LLC
Entity Type:Organization
Organization Name:DENBIGH DRUGS, LLC
Other - Org Name:DENBIGH DRUGS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THAO
Authorized Official - Middle Name:LEANNE
Authorized Official - Last Name:VINH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-877-0253
Mailing Address - Street 1:13349 WARWICK BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602
Mailing Address - Country:US
Mailing Address - Phone:757-877-0253
Mailing Address - Fax:757-872-9247
Practice Address - Street 1:13349 WARWICK BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602
Practice Address - Country:US
Practice Address - Phone:757-877-0253
Practice Address - Fax:757-872-9247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2018-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X
VA02010016413336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008509131Medicaid
VA8509131Medicaid
2102343OtherPK