Organization
CULPEPER PHARMACY LLC
Active
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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