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Organization

PATIENT FIRST RICHMOND MEDICAL GROUP

Active
Other names
PATIENT FIRST LAKE RIDGE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARVIN WARREN BRIDGERS III RPH (DIRECTOR OF PHARMACY)
(804) 822-4383
Entity
Organization

Contact information

Practice address
2199 OLD BRIDGE RD, LAKE RIDGE, VA 22192-2911
(703) 357-9707
(703) 357-9708
Mailing address
5000 COX RD, STE 100, GLEN ALLEN, VA 23060-9263
(804) 822-4383
(804) 965-0987

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
0102202555
VA

Other

Enumeration date
03/13/2013
Last updated
03/13/2013
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