Organization
BEAVERDAM APOTHECARY
Active
Other names
Beaverdam Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY BROOKS (OWNER)
(804) 908-8115
Entity
Organization
Contact information
Practice address
16151 TRAINHAM RD, STE B, BEAVERDAM, VA 23015-1301
(804) 449-6333
(804) 449-6173
Mailing address
16151 TRAINHAM RD, STE B, BEAVERDAM, VA 23015-1301
(804) 449-6333
(804) 449-6173
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201001471
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01356417463
—
VA
05
—
1356417463
—
VA
01
—
2156211
PK
—
05
—
4814770
—
VA
Enumeration date
11/28/2006
Last updated
07/19/2018
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