Fort Chiswell Pharmacy INC
NPI #1992802821 in Max Meadows, Virginia
Provider Information
- NPI Number
- 1992802821
- Entity Type
- Organization
- Organization Name
- Fort Chiswell Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Nov 10, 2016
Practice Location
- Address
- 791 FORT CHISWELL RD
- Address 2
- SUITE B
- City
- Max Meadows
- State
- Virginia
- ZIP Code
- 24360-4139
- Phone
- (276) 637-3178
Authorized Official
- Name
- STACY PETRUNYAK
- Title
- PHARMACIST IN CHARGE
- Phone
- (276) 637-3178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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