Organization
NICKELSVILLE PHARMACY INC
Active
Other names
Nickelsville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK MULLINS PHARM.D. (OWNER)
(276) 393-9825
Entity
Organization
Contact information
Practice address
11708 NICKELSVILLE HWY, NICKELSVILLE, VA 24271
(276) 479-2600
(276) 479-2652
Mailing address
11708 NICKELSVILLE HIGHWAY, NICKELSVILLE, VA 24271
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659761807
—
VA
Enumeration date
01/27/2015
Last updated
12/09/2016
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