Organization
NORTON COMMUNITY PHYSICIAN SERVICES LLC
Active
Other names
Ballad Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (SVP)
(423) 915-5185
Entity
Organization
Contact information
Practice address
1490 PARK AVE NW STE 7, NORTON, VA 24273-1631
(276) 439-1360
(276) 439-1305
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2080
(276) 439-1360
(276) 439-1305
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201002745
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2104972
PK
—
05
—
8520062
—
VA
Enumeration date
09/12/2006
Last updated
01/24/2024
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