Organization
GAUNTS DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD FREDERICK MADAGAN RPH (OWNER/PHARMIST)
(540) 662-0383
Entity
Organization
Contact information
Practice address
1 VALLEY AVE., WINCHESTER, VA 22601
(540) 662-0383
Mailing address
1 VALLEY AVE., WINCHESTER, VA 22601
(540) 662-0383
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201000299
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8503460
—
VA
Enumeration date
07/27/2006
Last updated
08/22/2020
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