Organization
FAMILY DRUG INC
Active
Other names
FAMILY DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY LARGE PHARMD (PRESIDENT)
(276) 523-1713
Entity
Organization
Contact information
Practice address
14 E 27TH ST N STE 1, BIG STONE GAP, VA 24219-3624
(276) 523-1713
(276) 523-2931
Mailing address
PO BOX 777, BIG STONE GAP, VA 24219-0777
(276) 523-1713
(276) 523-2931
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201002353
VA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201002353
BOARD OF PHARMACY
VA
01
—
2104360
PK
—
05
—
8515590
—
VA
Enumeration date
09/21/2006
Last updated
08/01/2023
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