Organization
CENTRA CANCER CENTER PHARMACY, LLC
Active
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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