Organization
PARAGON PHARMACY
Active
Organization
PARAGON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MICHAEL MOSES (OWNER)
(804) 643-3797
Entity
Organization
Contact information
Practice address
801 W CARY ST, RICHMOND, VA 23220-5403
(804) 643-3797
(804) 344-8220
Mailing address
801 W CARY ST, RICHMOND, VA 23220-5403
(804) 643-3797
(804) 344-8220
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201000534
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48-08993
INSURANCE PLANS NABP
—
Enumeration date
08/15/2006
Last updated
08/22/2020
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