Organization
FARMVILLE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT K KIM (PRESIDENT)
(703) 622-0376
Entity
Organization
Contact information
Practice address
308 S MAIN ST # A, FARMVILLE, VA 23901-1771
(703) 622-0376
Mailing address
308 S MAIN ST # A, FARMVILLE, VA 23901-1771
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0202209249
VA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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