Organization
HERITAGE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NELSEN (MANAGER)
(757) 243-2764
Entity
Organization
Contact information
Practice address
5922B GEORGE WASHINGTON MEM HWY, YORKTOWN, VA 23692
(757) 243-2764
Mailing address
5922B GEORGE WASHINGTON MEM HWY, YORKTOWN, VA 23692-2110
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
201004843
VA
Other
Enumeration date
05/16/2018
Last updated
06/26/2018
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