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Organization
CROWN RX INC.
Active
Organization
CROWN RX INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADETOYOSI M AGANBI RPH, MSC HOSP. ADMIN (MANAGER)
(804) 778-7288
Entity
Organization
Contact information
Practice address
4936 LIPPINGHAM DR, CHESTER, VA 23831-6510
(804) 778-7288
(804) 777-9470
Mailing address
4936 LIPPINGHAM DR, CHESTER, VA 23831-6510
(804) 778-7288
(804) 777-9470
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
0201004073
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4839188
NCPDP
VA
Enumeration date
06/03/2006
Last updated
08/22/2020
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