Organization
MAO PHARMACY INC
Active
Other names
Westwood Pharmacy Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OLEY RPH (CEO AND PRESIDENT)
(804) 288-1933
Entity
Organization
Contact information
Practice address
5823 PATTERSON AVE, STE A, RICHMOND, VA 23226-2536
(804) 288-3620
(804) 288-1508
Mailing address
8905 THREE CHOPT RD, HENRICO, VA 23229-4663
(804) 288-3620
(804) 288-1508
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
0201003985
VA
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215068531
—
VA
01
—
2105501
PK
—
Enumeration date
03/08/2007
Last updated
06/14/2023
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