Organization
BATTLETOWN PHARMACY, INC.
Active
Other names
Battletown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA LOUISE WHITE BS PHARMACY (PRESIDENT/PHARMACIST-IN-CHARGE)
(540) 686-5485
Entity
Organization
Contact information
Practice address
33 W MAIN ST, SUITE A, BERRYVILLE, VA 22611-1340
(540) 955-0500
(540) 955-0515
Mailing address
33 W MAIN ST, SUITE A, BERRYVILLE, VA 22611-1340
(540) 955-0500
(540) 955-0515
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004539
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073855094
—
VA
01
—
6939960001
MEDICARE PTAN
VA
Enumeration date
03/18/2013
Last updated
04/01/2014
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