Organization
RENEW RX LLC
Active
Other names
Renew Rx
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY BURTON (CHIEF OPERATING OFFICER)
(888) 513-5444
Entity
Organization
Contact information
Practice address
9555 KINGS CHARTER DR STE D, ASHLAND, VA 23005-7994
(804) 550-5143
(804) 550-5173
Mailing address
9962 BROOK RD, #601, GLEN ALLEN, VA 23059-6501
(888) 513-5444
(804) 550-5173
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
0201004310
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4841892
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/01/2009
Last updated
11/15/2011
Update your record
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