Organization
DAVID JUNE ENTERPRISES LLC
Active
Organization
DAVID JUNE ENTERPRISES LLC
Active
Other names
HALIFAX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ANDERSON PHARMD (OWNER/PHARMACIST)
(434) 575-0511
Entity
Organization
Contact information
Practice address
4121 HALIFAX RD, SUITE A, SOUTH BOSTON, VA 24592-4833
(434) 575-0511
(434) 575-1366
Mailing address
4121 HALIFAX RD, SOUTH BOSTON, VA 24592-4833
(434) 575-0511
(434) 575-1366
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201000680
VA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009138498
—
VA
01
—
2102641
PK
—
Enumeration date
10/03/2006
Last updated
09/20/2021
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