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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