Organization
T C K R INC
Active
Other names
FOOD CITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS RATLIFF DPH (PRESIDENT)
(276) 783-5761
Entity
Organization
Contact information
Practice address
910 N MAIN ST, SUITE 100, MARION, VA 24354-4140
(276) 783-5761
(276) 783-7676
Mailing address
910 N MAIN ST, SUITE 100, MARION, VA 24354-4140
(276) 783-5761
(276) 783-7676
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201003004
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2104062
PK
—
05
—
8514798
—
VA
Enumeration date
09/30/2006
Last updated
01/08/2016
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