Organization
CUNDIFF DRUG STORE INC
Active
Other names
CUNDIFF DRUG STORE INC
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL CUNDIFF (PHARMACIST IN CHARGE)
(540) 342-8928
Entity
Organization
Contact information
Practice address
119 E CLEVELAND AVE, VINTON, VA 24179-2538
(540) 342-8928
(540) 343-8214
Mailing address
119 E CLEVELAND AVE, VINTON, VA 24179-2538
(540) 342-8928
(540) 343-8214
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201000141
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102209
PK
—
05
—
8506469
—
VA
Enumeration date
04/25/2006
Last updated
02/23/2015
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