Organization
DICKENSON PHARMACY PC
Active
Organization
DICKENSON PHARMACY PC
Active
Other names
Dickenson Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DICKENSON (PIC/OWNER)
(276) 617-8144
Entity
Organization
Contact information
Practice address
580 N MAIN ST, RURAL RETREAT, VA 24368-2564
(276) 686-5073
(276) 686-5074
Mailing address
PO BOX 215, RURAL RETREAT, VA 24368-0215
(276) 686-5073
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004468
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922368240
—
VA
01
—
2135292
PK
—
Enumeration date
05/21/2012
Last updated
11/29/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up