Organization
LONESOME PINE ECONOMY DRUG, INC.
Active
Other names
Lonesome Pine Economy Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C BROWN RPH (PRESIDENT/PHARMACIST)
(276) 566-4488
Entity
Organization
Contact information
Practice address
517 PARK AVE SW, NORTON, VA 24273
(276) 679-5190
(276) 566-8778
Mailing address
PO BOX 205, HURLEY, VA 24620
(276) 566-4488
(276) 566-8778
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004267
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201004267
VIRGINIA STATE LICENSE
VA
Enumeration date
01/22/2009
Last updated
01/22/2009
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