Organization
PHIPPS ENTERPRISE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTIE PHIPPS BS PHARMACY (PRES)
(276) 728-2731
Entity
Organization
Contact information
Practice address
185 SOUTH MAIN ST, HILLSVILLE, VA 24343
(276) 728-2731
(276) 728-3052
Mailing address
PO BOX 1447, HILLSVILLE, VA 24343-7447
(276) 728-2731
(276) 728-3502
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201001611
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010127831
—
VA
05
—
010146933
—
VA
01
—
2102650
PK
—
05
—
8505454
—
VA
Enumeration date
10/02/2006
Last updated
09/23/2020
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