Organization
RICHMOND MEDICAL GROUP
Active
Organization
RICHMOND MEDICAL GROUP
Active
Other names
PATIENT FIRST MANASSAS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN W BRIDGERS III RPH (DIRECTOR OF PHARMACY)
(804) 822-4383
Entity
Organization
Contact information
Practice address
9715 LIBERIA AVE., MANASSAS, VA 20110
(571) 229-1797
(571) 229-1798
Mailing address
9715 LIBERIA AVE, MANASSAS, VA 20110
(571) 229-1797
(571) 229-1798
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
0101239490
VA
Other
Enumeration date
04/14/2010
Last updated
04/29/2010
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