Organization
PATIENT FIRST RICHMOND MEDICAL GROUP
Active
Other names
PATIENT FIRST CHANTILLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN WARREN BRIDGERS III RPH (DIRECTOR OF PHARMACY)
(804) 822-4383
Entity
Organization
Contact information
Practice address
3918 CENTREVILLE RD, CHANTILLY, VA 20151
(703) 657-6925
(703) 657-6926
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
0101236400
VA
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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