Organization
NEW GRAHAM PHARMACY INC
Active
Other names
NEW GRAHAM PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY NIPPER RPH (PIC)
(276) 326-1166
Entity
Organization
Contact information
Practice address
566 VIRGINIA AVE, BLUEFIELD, VA 24605-1729
(276) 326-1166
(276) 326-3784
Mailing address
566 VIRGINIA AVENUE, BLUEFIELD, VA 24605
(276) 326-1166
(276) 326-3784
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201001822
VA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102406
PK
—
05
—
8501475
—
VA
Enumeration date
10/03/2006
Last updated
09/19/2025
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