Organization
CUNDIFF BLUE RIDGE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LEE CLEVELAND (OWNER)
(540) 977-4224
Entity
Organization
Contact information
Practice address
1663 BLUE RIDGE BLVD, TROUTVILLE, VA 24175-6636
(540) 977-4224
(540) 977-0297
Mailing address
1663 BLUE RIDGE BLVD, TROUTVILLE, VA 24175-6636
(540) 977-4224
(540) 977-0297
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201002463
VA
Other
Enumeration date
08/05/2009
Last updated
08/31/2009
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