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Organization

MEDICAL ARTS PHCY OF ST MARYS

Active
Other names
MEDICAL ARTS PHCY OF ST MARYS
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL CAMPBELL BS (PHARMACIST)
(276) 679-7406
Entity
Organization

Contact information

Practice address
280 VIRGINIA AVE NE STE 105, NORTON, VA 24273-1539
(276) 679-7406
(276) 679-7406
Mailing address
280 VIRGINIA AVE NE STE 105, NORTON, VA 24273-1539
(276) 679-7406
(276) 679-7406

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
0201002488
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008501092
VA
01
4827501
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
07/22/2006
Last updated
04/29/2010
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