NPI 1184310419

Perris Dwayne Smallwood, CPHT

Practitioner Pharmacy Technician Hampton, VA

Practice location

Address: 3701 Kecoughtan Rd, Hampton, VA 23669-4405
Phone: (757) 728-2913
Fax: (757) 728-3886
Mailing address: 377 Tyler Ave, Newport News, VA 23601-4109

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 0230022698 (VA)

Other Pharmacy Technician providers in Virginia →

Registry record

NPI: 1184310419
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2023
Record last updated: 11 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.