Organization
TRI AREA COMMUNITY HEALTH
Active
Parent organization
TRI-AREA COMMUNITY HEALTH
Other names
Tri Area Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-AREA COMMUNITY HEALTH
Authorized official
JIM WERTH (CEO)
(276) 398-1200
Entity
Organization
Contact information
Practice address
14558 DANVILLE PIKE, LAUREL FORK, VA 24352-0009
(276) 398-2620
(276) 398-3884
Mailing address
PO BOX 9, 14558 DANVILLE PIKE, LAUREL FORK, VA 24352-0009
(276) 398-2292
(276) 398-3331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0201003139
VA
3336C0003X
Community/Retail Pharmacy
0201003139
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008586560
—
VA
05
—
009104909
—
VA
01
—
4138650001
MEDICARE DME
—
Enumeration date
02/06/2007
Last updated
07/25/2024
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