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Organization

MEADOWBROOK HEALTH SERVICE INC

Active
Other names
MEADOWBROOK PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM LAMAR (RPH/TREASUER/PRESIDENT)
(540) 718-5423
Entity
Organization

Contact information

Practice address
2037 BARRACKS RD, CHARLOTTESVILLE, VA 22903-1206
(434) 296-4135
(434) 220-0438
Mailing address
PO BOX 160, MADISON, VA 22727-0160
(434) 296-4135
(434) 220-0438

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
0201002013
VA
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2102420
PK
05
8514747
VA
Enumeration date
09/20/2006
Last updated
04/20/2017
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