# COMMUNITY RESOURCE PHARMACY

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

## Provider details

- **NPI number:** 1598733768
- **Authorized official:** MR. JOHN E. WALL R.PH. (PHARMACIST-IN-CHARGE)
- **Authorized official phone:** (804) 524-7657

## Contact information

- **Practice address:** 26317 WEST WASHINGTON STREET,, EXTENDED BUILDING \#110, PETERSBURG, VA 23803
- **Practice address phone:** (804) 524-7657
- **Practice address fax:** (804) 524-7079
- **Mailing address:** PO BOX 4030, PETERSBURG, VA 23803-0030
- **Mailing address phone:** (804) 524-7657
- **Mailing address fax:** (804) 524-7079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 0201004069 | VA | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 08/22/2020