Provider Demographics
NPI:1265735955
Name:CALE, LARRY A (RPH)
Entity type:Individual
Prefix:
First Name:LARRY
Middle Name:A
Last Name:CALE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 E LITTLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-2504
Mailing Address - Country:US
Mailing Address - Phone:757-587-6855
Mailing Address - Fax:757-587-6539
Practice Address - Street 1:205 E LITTLE CREEK RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-2504
Practice Address - Country:US
Practice Address - Phone:757-587-6855
Practice Address - Fax:757-587-6539
Is Sole Proprietor?:No
Enumeration Date:2010-12-18
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010147183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist