Organization
ABINGDON APOTHECARY, INC
Active
Other names
Mac's LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BURGESS PHARMD (PHARMACIST)
(276) 525-4357
Entity
Organization
Contact information
Practice address
611 CAMPUS DR STE 800, ABINGDON, VA 24210-9705
(276) 525-4357
(276) 525-4514
Mailing address
611 CAMPUS DR STE 800, ABINGDON, VA 24210-9705
(276) 525-4357
(276) 525-4514
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
0201004458
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861752339
—
VA
01
—
2135425
PK
—
Enumeration date
05/18/2012
Last updated
01/13/2017
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