Organization
LAUREL FAMILY DRUG INC
Active
Other names
LAUREL FAMILY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY WATERS III PHARMD (OWNER)
(276) 475-5022
Entity
Organization
Contact information
Practice address
204 S SHADY AVE, DAMASCUS, VA 24236
(276) 475-5022
(276) 475-3614
Mailing address
PO BOX 69, DAMASCUS, VA 24236-0069
(276) 475-5022
(276) 475-3614
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201003103
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010073103
—
VA
01
—
2106035
PK
—
05
—
8572135
—
VA
Enumeration date
08/10/2006
Last updated
01/30/2026
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