Organization
GOOCHLAND PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL KEVIN JOHNSON II PHARM D (OWNER/PHARMACIST IN CHARGE)
(804) 556-3607
Entity
Organization
Contact information
Practice address
1956 SANDY HOOK RD., GOOCHLAND, VA 23063
(804) 556-3607
(804) 556-2414
Mailing address
P.O. BOX 166, GOOCHLAND, VA 23063
(804) 556-3607
(804) 556-2414
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201002477
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8512388
—
VA
Enumeration date
07/09/2006
Last updated
03/07/2023
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