Beaverdam Pharmacy

NPI 1356417463 - Pharmacy - 3336C0003X

NPI Details
NPI 1356417463
Enumeration Date 11/28/2006
Last Updated 08/26/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TERESA TERESA
Position OWNER
Phone (804) 449-6333
Fax (804) 449-6173
Practice Location
16151 TRAINHAM RD
STE B
BEAVERDAM VA, 23015-1301, US
Phone (804) 449-6333
Fax (804) 449-6173
Business Location
16151 TRAINHAM RD
STE B
BEAVERDAM VA, 23015-1301, US
Phone (804) 449-6333
Fax (804) 449-6173
Toxanomy
Taxonomy Code 3336C0003X
License State Virginia
License Number 0201001471
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According to our database, Beaverdam Pharmacy NPI is 1356417463, taxonomy code is 3336C0003X and license number is 0201001471, license state is located at Virginia. Beaverdam Pharmacy physically located at 16151 Trainham Rd, Beaverdam VA, 23015-1301. NPI Number 1033115704 has the healthcare provider type.

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1356417463 NPI number is provided on an as is basis without warranty of any kind. 1356417463 is maintained by the National Plan & Provider Enumeration System. The contents of Beaverdam Pharmacy are for informational purposes only.