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Organization
BLAIRS DRUG STORE
Active
Organization
BLAIRS DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRVIN WAYNE FENTRESS RPH (OWNER/PRES)
(804) 329-3363
Entity
Organization
Contact information
Practice address
3601 MECHANICSVILLE PIKE, RICHMOND, VA 23223-1329
(804) 329-3363
(804) 329-7471
Mailing address
3601 MECHANICSVILLE PIKE, RICHMOND, VA 23223-1329
(804) 329-3363
(804) 329-7471
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0201000045
VA
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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