Organization
APPALACHIAN COLLEGE OF PHARMACY
Active
Other names
Mountain Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MAYHEW (DEAN)
(276) 498-5201
Entity
Organization
Contact information
Practice address
8252 RIVERSIDE DR, OAKWOOD, VA 24631-8972
(276) 498-5261
(276) 498-5268
Mailing address
8252 RIVERSIDE DR, OAKWOOD, VA 24631-8972
(276) 498-5261
(276) 498-5268
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004409
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4844153
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/12/2011
Last updated
09/20/2012
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