Organization
NORTHUMBERLAND PHARMACY INC
Active
Other names
Northumberland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLL THROCKMORTON (OWNER)
(804) 435-8818
Entity
Organization
Contact information
Practice address
6954 NORTHUMBERLAND HWY, HEATHSVILLE, VA 22473-3335
(804) 580-4940
(804) 580-4942
Mailing address
PO BOX 1299, KILMARNOCK, VA 22482-1299
(804) 435-8818
(804) 435-8898
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4842868
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/05/2011
Last updated
05/17/2011
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