Organization
BRUCE'S DRUG STORE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH S PENCE PHARMD (CORP PRES./OWNER)
(434) 286-3881
Entity
Organization
Contact information
Practice address
295 B EAST MAIN STREET, SUITE B, SCOTTSVILLE, VA 24590-0278
(434) 286-3881
(434) 286-4733
Mailing address
PO BOX 278, 295 B EAST MAIN STREET, SUITE B, SCOTTSVILLE, VA 24590-0278
(434) 286-3881
(434) 286-4733
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0201000075
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008500134
—
VA
01
—
0201000075
PHARMACY LISCENSE
VA
01
—
4809553
NAPB NUMBER
VA
Enumeration date
07/17/2006
Last updated
03/23/2009
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