Organization
PENNINGTON DRUG CENTER INC
Active
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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