Provider Demographics
NPI:1497816805
Name:SENU, COMFORTROSE E (PHARMD)
Entity Type:Individual
Prefix:
First Name:COMFORTROSE
Middle Name:E
Last Name:SENU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12121 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-6916
Mailing Address - Country:US
Mailing Address - Phone:757-746-2002
Mailing Address - Fax:757-746-2010
Practice Address - Street 1:12121 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-6916
Practice Address - Country:US
Practice Address - Phone:757-746-2002
Practice Address - Fax:757-746-2010
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012345183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist