Organization
RICHMOND MEDICAL GROUP
Active
Other names
PATIENT FIRST GARRISONVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN WARREN BRIDGERS III RPH (DIRECTOR PF PHARMACEUTICAL SERVICES)
(804) 822-4383
Entity
Organization
Contact information
Practice address
60 PROSPERITY LANE, STAFFORD, VA 22556
(540) 658-2811
(540) 658-2812
Mailing address
5000 COX RD, STE 100, GLEN ALLEN, VA 23060-9263
(804) 822-4383
(804) 965-0987
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
0213001008
VA
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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