Organization
CHARLOTTE DRUG COMPANY
Active
Other names
CHARLOTTE DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWNA JONES PHARM D (OWNER)
(434) 542-5171
Entity
Organization
Contact information
Practice address
120 DAVID BRUCE AVE, CHARLOTTE C H, VA 23923-0728
(434) 542-5171
(434) 542-5809
Mailing address
PO BOX 728, CHARLOTTE COURT HOUSE, VA 23923-0728
(434) 542-5171
(434) 542-5809
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009106308
—
VA
01
—
118025
BCBS OF VA
—
Enumeration date
10/24/2006
Last updated
11/01/2023
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