Community Phcy of South Boston,inc
NPI #1700891306 in South Boston, Virginia
Provider Information
- NPI Number
- 1700891306
- Entity Type
- Organization
- Organization Name
- Community Phcy of South Boston,inc
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 30, 2006
- Last Updated
- Nov 7, 2011
Practice Location
- Address
- 2202 BEECHMONT RD
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-1614
- Phone
- (434) 575-7988
Authorized Official
- Name
- SAMUEL FISHER
- Title
- OWNER
- Phone
- (434) 575-7988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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