Organization
MCGUIRE PARK PHARMACY INC
Active
Other names
MCGUIRE PARK PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP GIBRALL RPH (PRESIDENT)
(804) 344-4444
Entity
Organization
Contact information
Practice address
2106 E MAIN ST, RICHMOND, VA 23223-7051
(804) 344-4444
(804) 344-3385
Mailing address
2106 E MAIN ST, RICHMOND, VA 23223-7051
(804) 344-4444
(804) 344-3385
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201000450
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102783
PK
—
05
—
8502285
—
VA
Enumeration date
09/12/2006
Last updated
11/29/2016
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