Organization
RUSSELL FORK PHARMACIES, INC.
Active
Other names
Jones & Counts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERVIN COUNTS RPH (PRESIDENT)
(276) 865-5560
Entity
Organization
Contact information
Practice address
164 HAYSI MAIN STREET, HAYSI, VA 24256
(276) 865-5560
(276) 865-5310
Mailing address
PO BOX 99, HAYSI, VA 24256-0099
(276) 865-5560
(276) 865-5310
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201003911
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008520020
—
VA
01
—
4837463
NCPDP
VA
Enumeration date
10/12/2006
Last updated
06/28/2024
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