Organization
CDF CORPORATION
Active
Other names
J.M. Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAUDE M FULTON III (PRESIDENT/PHARMACIST)
(276) 628-7138
Entity
Organization
Contact information
Practice address
191 COURT ST NE, ABINGDON, VA 24210-2901
(276) 628-7138
(276) 628-7139
Mailing address
191 COURT ST NE, ABINGDON, VA 24210-2901
(276) 628-7138
(276) 628-7139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0201000249
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4803854
NCPDP
VA
Enumeration date
07/15/2006
Last updated
08/22/2020
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