Organization
MARTINSVILLE PHARMACY INC
Active
Other names
Martinsville Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GLASS BS R.PH (PHARMACY MANAGER)
(276) 632-0816
Entity
Organization
Contact information
Practice address
1049 BROOKDALE ST STE A, MARTINSVILLE, VA 24112-3972
(276) 632-0816
(276) 632-0871
Mailing address
1049 BROOKDALE ST STE A, MARTINSVILLE, VA 24112-3972
(276) 632-0816
(276) 632-0871
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004762
VA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841738895
—
VA
01
—
2168034
PK
—
Enumeration date
02/09/2017
Last updated
04/28/2017
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