Organization
SHAWSVILLE PHARMACY INC
Active
Other names
LIPES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HARVEY RPH (PHRM)
(540) 343-2766
Entity
Organization
Contact information
Practice address
2201 CRYSTAL SPRING AVE SW, ROANOKE, VA 24014-2416
(540) 343-2766
(240) 343-8248
Mailing address
2201 CRYSTAL SPRING AVE SW, ROANOKE, VA 24014-2416
(540) 343-2766
(240) 343-8248
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201000425
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4809387
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
8509174
—
VA
Enumeration date
02/09/2007
Last updated
06/01/2010
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