Individual
ERVIN COUNTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
164 HAYSI MAIN STREET, HAYSI, VA 24256
(276) 865-5560
(276) 865-5310
Mailing address
PO BOX 147, BIRCHLEAF, VA 24220-0147
(276) 865-0204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202010366
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202010366
BOARD OF PHARMACY
VA
Enumeration date
01/28/2021
Last updated
06/28/2024
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