Organization
STONY CREEK COMMUNITY HEALTH CENTER
Active
Parent organization
STONY CREEK COMMUNITY HEALTH CTR
Other names
Stony Creek Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
STONY CREEK COMMUNITY HEALTH CTR
Authorized official
LUCY ELDER (EXECUTIVE DIRECTOR)
(434) 246-6100
Entity
Organization
Contact information
Practice address
12451 MAIN STREET, STONY CREEK, VA 23882
(434) 246-5191
(434) 246-3607
Mailing address
12454 HARTLEY STREET, STONY CREEK, VA 23882
(434) 246-6100
(434) 246-6614
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201001580
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010036267
—
VA
05
—
10036267
—
VA
01
—
4809820
NCPDP
—
Enumeration date
09/21/2006
Last updated
10/18/2022
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