Organization
COMMONWEALTH PHARMACY
Active
Organization
COMMONWEALTH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA M GROGAN (INS SECRETARY)
(434) 836-7146
Entity
Organization
Contact information
Practice address
949 PINEY FOREST RD, DANVILLE, VA 24540-1549
(434) 836-7146
(434) 835-0031
Mailing address
949 PINEY FOREST RD, DANVILLE, VA 24540-1549
(434) 836-7146
(434) 835-0031
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0201002863
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009141782
—
VA
Enumeration date
07/08/2005
Last updated
04/15/2010
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