Organization
SHAWSVILLE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FAUBER (PHARMACIST CO OWNER)
(540) 268-2555
Entity
Organization
Contact information
Practice address
6920 ROANOKE RD, SHAWSVILLE, VA 24162
(540) 268-2555
(540) 268-5009
Mailing address
PO BOX 308, SHAWSVILLE, VA 24162-0308
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201002356
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008515671
—
VA
05
—
009132341
—
VA
05
—
1770910655
—
VA
01
—
4820470
NCPDP
VA
01
—
4844949
NCPDP
VA
Enumeration date
03/14/2006
Last updated
10/15/2015
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