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Organization
CENTRA HEALTH, INC.
Active
Organization
CENTRA HEALTH, INC.
Active
Other names
Virginia Baptist Hospital Post Acute Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA CULBERTSON (HOSPITAL PRESIDENT)
(434) 200-3014
Entity
Organization
Contact information
Practice address
1331 OAK LN, LYNCHBURG, VA 24503-2501
(434) 200-2422
(434) 384-3168
Mailing address
1331 OAK LN, LYNCHBURG, VA 24503-2501
(434) 200-2422
(434) 384-3168
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
0201004455
VA
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568722072
—
VA
01
—
4843822
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/18/2012
Last updated
05/26/2023
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