Organization
BOYDTON COMMUNITY HEALTH FACILITY INC
Active
Other names
Boydton Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MELKE (EXECUTIVE DIRECTOR)
(434) 738-6102
Entity
Organization
Contact information
Practice address
390 WASHINGTON ST, BOYDTON, VA 23917-3415
(434) 738-6102
Mailing address
PO BOX 203, 390 WASHINGTON, BOYDTON, VA 23917-0203
(434) 738-6102
(434) 738-6982
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004326
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4842022
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/03/2010
Last updated
03/08/2010
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