Provider Demographics
NPI:1518205970
Name:CHAMBERS, VIRGINIA S (RPH)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:S
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:857 W BAY DR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3221
Mailing Address - Country:US
Mailing Address - Phone:727-518-7748
Mailing Address - Fax:
Practice Address - Street 1:857 W BAY DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3221
Practice Address - Country:US
Practice Address - Phone:727-518-7748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-19
Last Update Date:2013-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS13036183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist