Organization
PENNINGTON DRUG CENTER INC
Active
Other names
PENNINGTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS WINSTON PARKER (PRESIDENT)
(276) 546-1551
Entity
Organization
Contact information
Practice address
41692 W MORGAN AVE, PENNINGTON GAP, VA 24277-3300
(276) 546-1551
(276) 546-6235
Mailing address
41692 W MORGAN AVE, PENNINGTON GAP, VA 24277-3300
(276) 546-1551
(276) 546-6235
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201002084
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008500568
—
VA
01
—
2102757
PK
—
Enumeration date
07/10/2006
Last updated
05/20/2019
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