Provider Demographics
NPI:1578500898
Name:ANDREWS, EBONY DENISE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:EBONY
Middle Name:DENISE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 NASSAU PL
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3657
Mailing Address - Country:US
Mailing Address - Phone:757-825-0049
Mailing Address - Fax:
Practice Address - Street 1:210 W MERCURY BLVD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-2513
Practice Address - Country:US
Practice Address - Phone:757-722-2823
Practice Address - Fax:757-722-3849
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202206675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist