Organization
SCOTTIE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA KOSLOW PHARMD (PHARMACIST IN CHARGE)
(276) 963-0284
Entity
Organization
Contact information
Practice address
1951 2ND ST, RICHLANDS, VA 24641-2303
(276) 963-0284
(276) 963-4465
Mailing address
PO BOX 337, RICHLANDS, VA 24641-0337
(276) 963-0284
(276) 963-4465
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201003542
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008517541
—
VA
05
—
008520101
—
VA
05
—
6005012000
—
WV
Enumeration date
08/02/2006
Last updated
07/19/2021
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