Organization
CENTRAL VIRGINIA PHARMACY CONSULTANTS, P.C.
Active
Other names
Timberlake Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODI V. ETTARE PHARMD (OWNER)
(434) 237-6337
Entity
Organization
Contact information
Practice address
22776 TIMBERLAKE RD APT D, LYNCHBURG, VA 24502-7310
(434) 237-6337
(434) 237-6338
Mailing address
22776 TIMBERLAKE RD APT D, LYNCHBURG, VA 24502-7310
(434) 237-6337
(434) 237-6338
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
0201004144
VA
3336C0004X
Compounding Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
0201004144
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F10H
EFT PROVIDER NO.
VA
Enumeration date
03/08/2007
Last updated
10/03/2023
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