# KILMARNOCK PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KILMARNOCK PHARMACY INC
- **Other names:** MAIN STREET PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578252557
- **Legal business name:** KILMARNOCK PHARMACY INC
- **Authorized official:** CAROLL ANNE THROCKMORTON (PRESIDENT)
- **Authorized official phone:** (804) 435-8818

## Contact information

- **Practice address:** 308 N MAIN ST, KILMARNOCK, VA 22482-3834
- **Practice address phone:** (804) 435-8818
- **Practice address fax:** (804) 435-8898
- **Mailing address:** PO BOX 1299, KILMARNOCK, VA 22482-1299
- **Mailing address phone:** (804) 435-8818
- **Mailing address fax:** (804) 435-8898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2023
- **Last updated:** 05/04/2023