Organization
SPIRE DME LLC
Active
Organization
SPIRE DME LLC
Active
Other names
Spire Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE SCAVOLA (EVP)
(434) 980-8116
Entity
Organization
Contact information
Practice address
750 HARRIS ST, SUITE 104-105, CHARLOTTESVILLE, VA 22903-4500
(434) 980-8100
Mailing address
200 GARRETT ST, SUITE O, CHARLOTTESVILLE, VA 22902-5693
(434) 980-8100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0206009853
VA
Other
Enumeration date
06/21/2013
Last updated
01/06/2015
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