Organization
CENTERVILLE CARDINAL DRUG CENTER INC
Active
Organization
CENTERVILLE CARDINAL DRUG CENTER INC
Active
Other names
GUNNS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
EARL GUNN (PRES PHCST)
(804) 784-5975
Entity
Organization
Contact information
Practice address
46A BROAD STREET RD, MANAKIN SABOT, VA 23103-2213
(804) 784-5975
(804) 784-4118
Mailing address
46A BROAD STREET RD, MANAKIN SABOT, VA 23103-2213
(804) 784-5975
(804) 784-4118
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201002321
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2104364
PK
—
05
—
8515638
—
VA
Enumeration date
11/03/2006
Last updated
09/12/2014
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