Organization
RICHMOND MEDICAL GROUP
Active
Organization
RICHMOND MEDICAL GROUP
Active
Other names
PATIENT FIRST LEESBURG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN W BRIDGERS III RPH (DIRECTOR OF PHARMACY)
(804) 822-4383
Entity
Organization
Contact information
Practice address
601 POTOMAC STATION DR, LEESBURG, VA 20176
(703) 840-1396
(703) 840-1397
Mailing address
601 POTOMAC STATION DR, LEESBURG, VA 20176
(703) 840-1396
(703) 840-1397
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
0101236400
VA
Other
Enumeration date
04/14/2010
Last updated
05/06/2010
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