Provider Demographics
NPI:1215710504
Name:CHAMBERLAIN, BARBARA M (RPH)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:M
Last Name:CHAMBERLAIN
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 1:214A 63RD ST # 2
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-2125
Mailing Address - Country:US
Mailing Address - Phone:757-573-7794
Mailing Address - Fax:
Practice Address - Street 1:214A 63RD ST
Practice Address - Street 2:ADDRESS LINE 2
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-2125
Practice Address - Country:US
Practice Address - Phone:757-573-7794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202007101183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist