Organization
DONSCO INC
Active
Other names
PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GINA THOMPSON (PHARMACY DIRECTOR)
(804) 379-6986
Entity
Organization
Contact information
Practice address
2105 ACADEMY RD, SUITE E, POWHATAN, VA 23139-5829
(804) 598-5028
(504) 598-6117
Mailing address
2105 ACADEMY RD, STE E, POWHATAN, VA 23139-5829
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0201003391
VA
3336C0003X
Community/Retail Pharmacy
Primary
0201003391
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00024F
MEDICARE FLU
VA
05
—
008509018
—
VA
05
—
009116214
—
VA
01
—
4830495
NABP
VA
01
—
P00231431
MEDICARE RAILROAD
VA
Enumeration date
06/15/2005
Last updated
01/08/2008
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