Organization
PROFESSIONAL PHARMACEUTICAL SERVICES, INC.
Active
Organization
PROFESSIONAL PHARMACEUTICAL SERVICES, INC.
Active
Other names
Buntings & Northside Drugcenter
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MILLARD VANDEVENTER PHARM. D. (OWNER PHARMACIST)
(276) 466-3600
Entity
Organization
Contact information
Practice address
1883 EUCLID AVE, BRISTOL, VA 24201-3605
(276) 466-3600
(276) 466-3578
Mailing address
1883 EUCLID AVE, BRISTOL, VA 24201-3605
(276) 466-3600
(276) 466-3578
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201001918
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8513619
—
VA
Enumeration date
07/19/2006
Last updated
08/19/2008
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