Organization
PHARM HOUSE LLC
Active
Organization
PHARM HOUSE LLC
Active
Other names
The Pharm House
Organization subpart
No
Provider details
NPI number
Authorized official
PORTIA THOMPSON (OWNER)
(540) 580-6797
Entity
Organization
Contact information
Practice address
311 E MAIN ST, FLOYD, VA 24091-2131
(540) 745-3333
(540) 745-3333
Mailing address
PO BOX 687, FLOYD, VA 24091-0687
(540) 745-3333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004839
VA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175335
PK
—
Enumeration date
08/11/2017
Last updated
07/19/2018
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