Organization
INDEPENDENCE ALIVE & WELL INC
Active
Other names
Bridge Water Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK ANDREW OSHEA RPH (OWNER)
(540) 828-6000
Entity
Organization
Contact information
Practice address
509 N MAIN ST, BRIDGEWATER, VA 22812-1626
(540) 828-6000
(540) 828-2743
Mailing address
509 N MAIN ST, BRIDGEWATER, VA 22812-1626
(540) 828-6000
(540) 828-2743
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201003486
VA
Other
Enumeration date
02/05/2007
Last updated
02/16/2010
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