Organization
THE WELLNESS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL T LEDERHOUSE PHARMD (PHARMACIST/OWNER)
(540) 723-6883
Entity
Organization
Contact information
Practice address
2228 PAPERMILL RD, SUITE E, WINCHESTER, VA 22601-3681
(540) 723-6883
(540) 723-9704
Mailing address
2228 PAPERMILL RD, SUITE E, WINCHESTER, VA 22601-3681
(540) 723-6883
(540) 723-9704
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201003469
VA
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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