Organization
GUND PHARMACY LLC
Active
Other names
SHENANDOAH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GUND RPH (OWNER PIC)
(540) 652-8619
Entity
Organization
Contact information
Practice address
420 S THIRD STREET, SHENANDOAH, VA 22849
(540) 652-8619
(540) 652-4401
Mailing address
420 S THIRD STREET, SHENANDOAH, VA 22849
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
VA
333600000X
Pharmacy
Primary
0201002475
VA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4809565
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8504873
—
VA
01
—
9102752
MEDICAID DME
VA
Enumeration date
10/23/2006
Last updated
11/04/2008
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