Organization
MAO PHARMACY INC
Active
Other names
WESTWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OLEY (OWNER)
(804) 288-1933
Entity
Organization
Contact information
Practice address
5823 PATTERSON AVE, RICHMOND, VA 23226-2536
(804) 288-1933
(804) 288-7934
Mailing address
5823 PATTERSON AVE, RICHMOND, VA 23226-2536
(804) 288-1933
(804) 288-7934
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201002128
VA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4808777
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
10/03/2024
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