Organization
PRINCE GEORGE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN COEY (OWNER)
(804) 861-3400
Entity
Organization
Contact information
Practice address
5720 COURTHOUSE RD, PRINCE GEORGE, VA 23875-3215
(804) 861-3400
(804) 861-2617
Mailing address
5720 COURTHOUSE RD, PRINCE GEORGE, VA 23875-3215
(804) 861-3400
(804) 861-2617
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201001872
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8513414
—
VA
Enumeration date
06/26/2006
Last updated
08/22/2020
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