Organization
UNCHAINED RX INC
Active
Other names
Buena Vista Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MORRIS (PRESIDENT)
(540) 261-2896
Entity
Organization
Contact information
Practice address
2263 MAGNOLIA AVE, BUENA VISTA, VA 24416-3121
(540) 261-2896
(540) 261-1635
Mailing address
2263 MAGNOLIA AVE, BUENA VISTA, VA 24416-3121
(540) 261-2896
(540) 261-1635
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201003441
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215049127
—
VA
01
—
2149717
PK
—
Enumeration date
08/31/2006
Last updated
03/14/2017
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