Organization
SOUTH RIVER COMPOUNDING PHARMACY WEST END, INC.
Active
Other names
South River Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BAYLOR RICE JR. R.PH. (PRESIDENT)
(804) 897-6447
Entity
Organization
Contact information
Practice address
3656 MAYLAND CT, RICHMOND, VA 23233-1409
(804) 897-6447
(804) 967-6449
Mailing address
3656 MAYLAND CT, RICHMOND, VA 23233-1409
(804) 897-6447
(804) 967-6449
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201004172
VA
Other
Enumeration date
07/31/2007
Last updated
06/24/2008
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