Organization
COMMONWEALTH PHARMACY CHATHAM INC
Active
Other names
Commonwealth Pharmacy Chatham
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD RODDEN (PHARMACIST/OWNER)
(434) 432-2094
Entity
Organization
Contact information
Practice address
21 S MAIN ST, CHATHAM, VA 24531-5536
(434) 432-2094
(434) 432-2098
Mailing address
21 S MAIN ST, CHATHAM, VA 24531-5536
(434) 432-2094
(434) 432-2098
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004333
VA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125023
PK
—
Enumeration date
05/10/2010
Last updated
03/27/2017
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