Organization
CENTRA CANCER CENTER PHARMACY, LLC
Active
Other names
CENTRA CANCER CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS THOMSON (CHIEF OPERATING OFFICER)
(434) 200-7740
Entity
Organization
Contact information
Practice address
1701 THOMSON DR, LYNCHBURG, VA 24501
(434) 200-1435
(434) 200-7508
Mailing address
1701 THOMSON DR, LYNCHBURG, VA 24501-1118
(434) 200-1435
(434) 200-7508
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871080853
—
VA
01
—
2176972
PK
—
Enumeration date
04/16/2018
Last updated
05/16/2025
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