Organization
MIDLOTHIAN APOTHECARY INC
Active
Other names
MIDLOTHIAN APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
IRVING DARBY (SEC TREASURER OWNER)
(804) 794-5592
Entity
Organization
Contact information
Practice address
13502 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-4214
(804) 794-5592
(804) 379-9943
Mailing address
13502 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-4214
(804) 794-5592
(804) 379-9943
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201002868
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2105691
PK
—
05
—
8536040
—
VA
Enumeration date
09/21/2006
Last updated
04/04/2016
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