Organization
OLDE VIRGINIA PHARMACY, INC.
Active
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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