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Organization

MICHAELS PHARMACY

Active
Other names
MICHAELS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL JOHNSON RPH (PRES PIC)
(276) 676-2900
Entity
Organization

Contact information

Practice address
101 CHARWOOD DR, ABINGDON, VA 24210-2576
(276) 676-2900
(276) 676-2915
Mailing address
101 CHARWOOD DR, ABINGDON, VA 24210-2576
(276) 676-2900
(276) 676-2915

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
0201003687
VA
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008507261
VA
05
009106588
VA
01
4835154
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
03/10/2006
Last updated
01/17/2012
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