Organization
NTA, LTD
Active
Other names
Ladysmith Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM WALDEN ABERNATHY RPH (PRESIDENT/PHARMACIST-IN-CHARGE)
(804) 448-2606
Entity
Organization
Contact information
Practice address
18014 JEFFERSON DAVIS HWY, RUTHER GLEN, VA 22546-2922
(804) 448-2606
(804) 448-0159
Mailing address
PO BOX 10, LADYSMITH, VA 22501-0010
(804) 448-2606
(804) 448-0159
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201001307
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4813918
NCPDP
VA
Enumeration date
05/01/2006
Last updated
08/22/2020
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