Organization
OLDE VIRGINIA PHARMACY, INC.
Active
Other names
Olde Virginia Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT COLE PHARMD (PHARMACIST/OWNER/PRESIDENT)
(276) 988-7977
Entity
Organization
Contact information
Practice address
1592 FINCASTLE TPKE, TAZEWELL, VA 24651-6167
(276) 988-7977
(276) 988-7469
Mailing address
PO BOX 664, TAZEWELL, VA 24651-0664
(276) 988-7977
(276) 988-1098
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201003318
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106896
PK
—
05
—
8507473
—
VA
Enumeration date
09/20/2006
Last updated
11/02/2020
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