Organization
BACK HOME PHARMACY INC
Active
Other names
Hopewell Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE NICHOLAS FOTIS RPH (MEMBER)
(410) 961-9428
Entity
Organization
Contact information
Practice address
2508 GRAY ST, HOPEWELL, VA 23860-5026
(804) 458-3784
(804) 458-6450
Mailing address
2508 GRAY ST, HOPEWELL, VA 23860-5026
(804) 458-3784
(804) 458-6450
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497302350
—
VA
Enumeration date
08/23/2019
Last updated
04/14/2021
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