Organization
DUBLIN PHARMACY
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
RON BEAVER (PIC/OWNER)
(540) 674-5693
Entity
Organization
Contact information
Practice address
703 BROAD ST., DUBLIN, VA 24084
(540) 674-5693
(540) 674-8448
Mailing address
P.O. BOX 1228, DUBLIN, VA 24084
(540) 674-5693
(540) 674-8448
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0201001440
VA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008545197
—
VA
01
—
4826965
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8545197
—
VA
Enumeration date
12/01/2006
Last updated
08/20/2008
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