Organization
DJKL INC
Active
Other names
MARION FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS RATLIFF (PRESIDENT)
(276) 783-7184
Entity
Organization
Contact information
Practice address
1581 N MAIN ST, MARION, VA 24354-4317
(276) 783-7184
(276) 783-3839
Mailing address
1581 N MAIN ST, MARION, VA 24354-4317
(276) 783-7184
(276) 783-3839
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201002433
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2105235
PK
—
05
—
8514097
—
VA
Enumeration date
09/20/2006
Last updated
04/06/2021
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