Organization
KMART 4062
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY EDWARD STEVENS (PHARMACY MANAGER)
(434) 799-0162
Entity
Organization
Contact information
Practice address
3311 RIVERSIDE DR, DANVILLE, VA 24541-3430
(434) 799-0162
(847) 396-2798
Mailing address
3710 TOM FORK RD, RINGGOLD, VA 24586-3844
(434) 822-5873
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0202010116
VA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up