Organization
HARNESS HEALTH PHARMACY - CENTRAL PHARMACY SERVICES LLC
Active
Other names
Harness Health Pharmacy #502
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M RALSTON (VP REIMBURSEMENT)
(419) 996-5119
Entity
Organization
Contact information
Practice address
6900 FOREST AVE STE 100, RICHMOND, VA 23230
(804) 893-8630
(804) 285-1296
Mailing address
6900 FOREST AVE, SUITE 100, RICHMOND, VA 23230-1729
(804) 893-8630
(804) 285-1296
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004469
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135975
PK
—
Enumeration date
07/16/2012
Last updated
10/15/2024
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