Organization
MARKET STREET PHARMACY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY FISHER RPH (OWNER AND PHARMACIST)
(540) 864-8800
Entity
Organization
Contact information
Practice address
317 MARKET ST, NEW CASTLE, VA 24127
(540) 864-8800
(540) 864-8803
Mailing address
PO BOX 38, NEW CASTLE, VA 24127-0038
(540) 864-8800
(540) 864-8803
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201003826
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4837324
OTHER ID NUMBER
—
05
—
8519625
—
VA
Enumeration date
08/20/2006
Last updated
06/26/2014
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