Organization
AMELIA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HATCHER WRIGHT PHARMACIST (PHARMACY DIRECTOR)
(804) 492-4325
Entity
Organization
Contact information
Practice address
15412 PATRICK HENRY HWY, AMELIA COURT HOUSE, VA 23002-4725
(804) 561-6885
(804) 561-6897
Mailing address
15412 PATRICK HENRY HWY, AMELIA COURT HOUSE, VA 23002-4725
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0201003971
VA
3336C0003X
Community/Retail Pharmacy
Primary
0201003971
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00023F
MEDICARE FLU
VA
05
—
010061377
—
VA
05
—
010062799
—
VA
01
—
P00231662
MEDICARE RAILROAD
VA
Enumeration date
06/15/2005
Last updated
01/24/2023
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