Organization
MIDDLESEX PHARMACY INC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLL THROCKMORTON (PRESIDENT)
(804) 436-3615
Entity
Organization
Contact information
Practice address
9893 GENERAL PULLER HWY, HARTFIELD, VA 23071-3122
(804) 776-9990
(804) 776-9991
Mailing address
9893 GENERAL PULLER HWY, HARTFIELD, VA 23071-3122
(804) 776-9990
(804) 776-9991
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201002102
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008514402
—
VA
01
—
2139221
PK
—
Enumeration date
11/15/2006
Last updated
02/23/2017
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