Organization
TRI AREA COMMUNITY HEALTH
Active
Organization
TRI AREA COMMUNITY HEALTH
Active
Other names
Tri-Area Community Pharmacy at Ferrum
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L WERTH JR. (EXECUTIVE DIRECTOR)
(276) 398-2292
Entity
Organization
Contact information
Practice address
180 FERRUM MOUNTAIN RD, FERRUM, VA 24088-2939
(540) 365-9992
(540) 365-2718
Mailing address
PO BOX 9, LAUREL FORK, VA 24352-0009
(276) 398-1200
(540) 365-2718
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0201004119
VA
3336C0003X
Community/Retail Pharmacy
0201004119
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4138650002
MEDICARE DME
VA
05
—
VA010405017
—
VA
Enumeration date
06/06/2013
Last updated
07/25/2024
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