Organization
CLAYPOOL HILL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MCGRAW PHARM D (OWNER)
(276) 963-3502
Entity
Organization
Contact information
Practice address
12252 GOVENOR GEORGE C PEERY HWY, POUNDING MILL, VA 24637
(276) 963-3502
(276) 963-3757
Mailing address
PO BOX 690, POUNDING MILL, VA 24637-0690
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201004017
VA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004705
—
WV
01
—
4838580
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/14/2006
Last updated
11/14/2007
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