Organization
BAXTERS DRUG STORE
Active
Organization
BAXTERS DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMETT FRANCIS BAXTER (OWNER)
(804) 478-4771
Entity
Organization
Contact information
Practice address
10359 DOYLE BLVD, MCKENNEY, VA 23872-0180
(804) 478-4771
Mailing address
PO BOX 180, MCKENNEY, VA 23872-0180
(804) 478-4771
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201002824
VA
Other
Enumeration date
09/11/2006
Last updated
08/22/2020
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