Organization
RX LLC
Active
Other names
BOWLING GREEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LUTHER BROWN RPH (OWNER)
(804) 633-4674
Entity
Organization
Contact information
Practice address
121 TRAVIS ST, BOWLING GREEN, VA 22427-0796
(804) 633-4674
(804) 633-2314
Mailing address
PO BOX 796, BOWLING GREEN, VA 22427-0796
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0201003688
VA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4835166
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8505721
—
VA
Enumeration date
10/25/2006
Last updated
05/28/2015
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