Organization
TIMBERVILLE DRUG STORE INC
Active
Other names
TIMBERVILLE DRUG STORE INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY GARBER (PRESIDENT)
(540) 896-3171
Entity
Organization
Contact information
Practice address
305 S MAIN STREET, TIMBERVILLE, VA 22853
(540) 896-3171
(540) 896-3145
Mailing address
PO BOX 358, TIMBERVILLE, VA 22853-0358
(540) 896-3171
(540) 896-3145
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201000826
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008503311
—
VA
01
—
4817118
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/27/2005
Last updated
05/15/2012
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