Organization
WAKEFIELD PHARMACY INC
Active
Other names
WAKEFIELD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL GARNER RPH (OWNER/PHARMACIST)
(757) 899-2551
Entity
Organization
Contact information
Practice address
105 RAILROAD AVE, WAKEFIELD, VA 23888-0667
(757) 899-2551
(757) 899-3403
Mailing address
PO BOX 667, WAKEFIELD, VA 23888-0667
(757) 899-2551
(757) 899-3403
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201001226
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102930
PK
—
05
—
8501025
—
VA
Enumeration date
03/10/2006
Last updated
03/01/2017
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