Organization
PLAZA LTC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD M SHIBLEY JR. RPH, MBA (DIRECTOR OF PHARMACY)
(804) 864-0276
Entity
Organization
Contact information
Practice address
1717 BELLEVUE AVE APT A605, RICHMOND, VA 23227-3936
(804) 864-0276
(804) 864-0275
Mailing address
1717 BELLEVUE AVE APT A605, RICHMOND, VA 23227-3936
(804) 864-0276
(804) 864-0275
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
0201003958
VA
Other
Enumeration date
12/08/2006
Last updated
02/29/2008
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