Organization
RVA PHARMACY LLC
Active
Other names
RVA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MEHULKUMAR MANUBHAI PATEL PHARMACIST (PHARMACY IN-CHARGE/OWNER)
(732) 485-3748
Entity
Organization
Contact information
Practice address
7801 W BROAD ST STE 19, RICHMOND, VA 23294-6309
(804) 528-5589
Mailing address
7801 W BROAD ST STE 19, RICHMOND, VA 23294-6309
(804) 528-5589
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201004860
PHARMACY LICENSE NO.
VA
Enumeration date
10/09/2018
Last updated
10/09/2018
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