Organization
TIMBERVILLE DRUG STORE INC
Active
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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