Organization
AXXA INC
Active
Other names
CAVALIER PHARMACARE
Organization subpart
No
Provider details
NPI number
Authorized official
FLOYD ROBERTSON RPH (PIC)
(276) 666-6644
Entity
Organization
Contact information
Practice address
806 MEMORIAL BLVD S, MARTINSVILLE, VA 24112-6417
(276) 666-6644
(276) 666-6622
Mailing address
806 MEMORIAL BLVD S, MARTINSVILLE, VA 24112-6417
(276) 666-6644
(276) 666-6622
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004002
VA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568565117
—
VA
01
—
2105581
PK
—
Enumeration date
09/07/2006
Last updated
09/19/2025
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