Organization
FISHBURNE PHARMACY LLC
Active
Organization
FISHBURNE PHARMACY LLC
Active
Other names
Fishburne Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GARBER (OWNER/PHARMACIST)
(540) 949-8211
Entity
Organization
Contact information
Practice address
436 S LINDEN AVE, WAYNESBORO, VA 22980-3564
(540) 949-8211
(540) 949-4833
Mailing address
436 S LINDEN AVE, WAYNESBORO, VA 22980-3564
(540) 949-8211
(540) 949-4833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201002091
VA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008500231
—
VA
01
—
2171627
PK
—
Enumeration date
05/11/2017
Last updated
04/18/2018
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