Independence Alive & Well INC
NPI #1487792974 in Bridgewater, Virginia
Provider Information
- NPI Number
- 1487792974
- Entity Type
- Organization
- Organization Name
- Independence Alive & Well INC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Feb 16, 2010
Practice Location
- Address
- 509 N MAIN ST
- City
- Bridgewater
- State
- Virginia
- ZIP Code
- 22812-1626
- Phone
- (540) 828-6000
Authorized Official
- Name
- MR. PATRICK ANDREW OSHEA, RPH
- Title
- OWNER
- Phone
- (540) 828-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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