Organization
PARKER DRUG COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CANADA (OWNER)
(757) 562-3333
Entity
Organization
Contact information
Practice address
102 N MAIN ST, FRANKLIN, VA 23851-1752
(757) 562-3333
(757) 562-7620
Mailing address
PO BOX 617, FRANKLIN, VA 23851-0617
(757) 562-3333
(757) 562-7620
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0201002758
VA
333600000X
Pharmacy
0201002758
VA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009143530
MEDICAID DME
VA
01
—
4824846
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8530521
—
VA
Enumeration date
06/12/2006
Last updated
04/08/2008
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