Organization
CULPEPER PHARMACY LLC
Active
Other names
Culpeper Home Medcial
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT RONALD RANKIN (MANAGER)
(540) 825-7576
Entity
Organization
Contact information
Practice address
251 SOUTHGATE SHOPPING CTR, CULPEPER, VA 22701-3833
(540) 825-7576
(540) 825-5822
Mailing address
251 SOUTHGATE SHOPPING CTR, CULPEPER, VA 22701-3833
(540) 825-7576
(540) 825-5822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0201-003842
VA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0206009746
VA
332BC3200X
Customized Equipment (DME)
0206009746
VA
3336C0003X
Community/Retail Pharmacy
0201-003842
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008519838
—
VA
05
—
010122937
—
VA
01
—
271420
ANTHEM SECONDARY #
—
01
—
4837413
NCPDP #
—
Enumeration date
10/26/2006
Last updated
12/11/2013
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