Organization
RIDGEWAY FAMILY PHARMACY, INC.
Active
Organization
RIDGEWAY FAMILY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ANTHONY PRATT (PRESIDENT)
(276) 634-0922
Entity
Organization
Contact information
Practice address
6581 GREENSBORO RD, RIDGEWAY, VA 24148-3278
(276) 956-5520
(276) 956-3174
Mailing address
PO BOX 4589, MARTINSVILLE, VA 24115-4589
(276) 956-5520
(276) 956-3174
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201-004089
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201004089
STATE PHARMACY LICENSE
VA
01
—
4839354
NCPDP
VA
Enumeration date
06/10/2006
Last updated
08/22/2020
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