# PATIENT FIRST RICHMOND MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patient First Fairfax
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134583008
- **Authorized official:** MR. MARVIN WARREN BRIDGERS III RPH (VP, PHARMACY)
- **Authorized official phone:** (804) 822-4383

## Contact information

- **Practice address:** 10100 FAIRFAX BLVD, FAIRFAX, VA 22030-2000
- **Practice address phone:** (703) 679-1876
- **Practice address fax:** (703) 679-1877
- **Mailing address:** 5000 COX RD, STE 100, GLEN ALLEN, VA 23060-9263
- **Mailing address phone:** (804) 822-4383
- **Mailing address fax:** (804) 965-0987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |

## Other

- **Enumeration date:** 04/07/2016
- **Last updated:** 01/05/2021