Organization
BLACKSBURG PHARMACY INC
Active
Organization
BLACKSBURG PHARMACY INC
Active
Other names
Blacksburg Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SENTHIL MARIMUTHU (PRESIDENT)
(540) 320-3345
Entity
Organization
Contact information
Practice address
1445 N MAIN ST, BLACKSBURG, VA 24060-2563
(540) 552-3000
(540) 552-3005
Mailing address
1445 N MAIN ST, BLACKSBURG, VA 24060-2563
(540) 552-3000
(540) 552-3005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004568
VA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205255312
—
VA
01
—
2145266
PK
—
Enumeration date
04/16/2014
Last updated
09/09/2024
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