# CLAYPOOL HILL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346770856
- **Authorized official:** SHANNON MCGRAW PHARMD (SECRETARY)
- **Authorized official phone:** (276) 963-3502

## Contact information

- **Practice address:** 12252 GOVERNOR G C PEERY HWY, POUNDING MILL, VA 24637-4272
- **Practice address phone:** (276) 963-3502
- **Practice address fax:** (276) 963-3757
- **Mailing address:** PO BOX 690, POUNDING MILL, VA 24637-0690
- **Mailing address phone:** (276) 963-3502
- **Mailing address fax:** (276) 963-3757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 0201004017 | VA | Yes |

## Other

- **Enumeration date:** 06/18/2017
- **Last updated:** 06/18/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010143080 | — | VA |