Organization
PIEDMONT PHARMACY INC
Active
Organization
PIEDMONT PHARMACY INC
Active
Other names
Piedmont Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANCE KISER (PRESIDENT)
(434) 251-4839
Entity
Organization
Contact information
Practice address
305 MOUNT CROSS RD, DANVILLE, VA 24540-4045
(434) 791-3784
(434) 791-2554
Mailing address
305 MOUNT CROSS RD, DANVILLE, VA 24540-4045
(434) 791-3784
(434) 791-2554
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004439
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4843531
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/03/2011
Last updated
09/07/2012
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