Organization
CAVALIER PHARMACY 2 INC
Active
Other names
Cavalier Pharmacy 2 Inc
Organization subpart
No
Provider details
NPI number
Authorized official
RICK MULLINS (PRESIDENT/OWNER)
(276) 679-0888
Entity
Organization
Contact information
Practice address
336 COEBURN AVE SW, NORTON, VA 24273
(276) 679-0888
(276) 679-0404
Mailing address
PO BOX 1245, NORTON, VA 24273-0917
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004285
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4841602
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/04/2009
Last updated
05/29/2009
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