Organization
BOYDTON COMMUNITY HEALTH FACILITY INC
Active
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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