Organization
BELLEVUE PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORENZO T. MURRAY JR. RPH (OWNER/PRESIDENT)
(804) 264-0458
Entity
Organization
Contact information
Practice address
4038 MACARTHUR AVE, RICHMOND, VA 23227
(804) 264-0458
(804) 264-4588
Mailing address
PO BOX 653, MIDLOTHIAN, VA 23114
(804) 264-0458
(804) 264-4588
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
0201003214
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008509115
—
VA
05
—
1821021809
—
VA
Enumeration date
07/10/2006
Last updated
07/20/2011
Update your record
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