Organization
PROFESSIONAL PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK V. THOMSON II (PIC, OWNER)
(434) 793-2221
Entity
Organization
Contact information
Practice address
130 WATSON ST, DANVILLE, VA 24541-2835
(434) 793-2221
(434) 797-9722
Mailing address
130 WATSON ST, DANVILLE, VA 24541-2835
(434) 793-2221
(434) 797-9722
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0201000675
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009147161
—
VA
Enumeration date
03/16/2007
Last updated
02/21/2008
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