Organization
FREE MEDICAL CLINIC OF NORTHERN SHENANDOAH VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W. ARCHIBALD R.PH (PHARMACIST IN CHARGE)
(540) 536-1680
Entity
Organization
Contact information
Practice address
301 N CAMERON ST, SUITE 100, WINCHESTER, VA 22601-4899
(540) 536-1680
(540) 662-4724
Mailing address
301 N CAMERON ST, SUITE 100, WINCHESTER, VA 22601-4899
(540) 536-1680
(540) 662-4724
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
0201002404
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201002404
STATE LICENSE NUMBER
VA
Enumeration date
05/24/2007
Last updated
08/22/2020
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