Organization
MUTUAL DRUG,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ALAN CARLTON PHARM.D. (PRESIDENT)
(276) 523-1123
Entity
Organization
Contact information
Practice address
314 WOOD AVENUE E., PO DRAWER M, BIG STONE GAP, VA 24219-0210
(276) 523-1123
(276) 523-4534
Mailing address
314 WOOD AVENUE E., PO DRAWER M, BIG STONE GAP, VA 24219-0210
(276) 523-1123
(276) 523-4534
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201000502
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4804945
NABP #
VA
Enumeration date
09/28/2006
Last updated
09/17/2007
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