Organization
UNION DRUG, INC.
Active
Organization
UNION DRUG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L BLANTON RPH (PHARMACIST)
(276) 523-2100
Entity
Organization
Contact information
Practice address
310 CLOVERLEAF SQ, BUILDING A SUITE 1, BIG STONE GAP, VA 24219-2752
(276) 523-2100
(276) 523-2101
Mailing address
310 CLOVERLEAF SQ, BUILDING A SUITE 1, BIG STONE GAP, VA 24219-2752
(276) 523-2100
(276) 523-2101
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568877470
—
VA
05
—
7100307500
—
KY
Enumeration date
06/30/2014
Last updated
02/03/2020
Update your record
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