Organization
FREE MEDICAL CLINIC OF NORTHERN SHENANDOAH VALLEY
Active
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
Update your record
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