Organization
NEW RIVER PHARMACY LLC
Active
Other names
COUNTS FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERVIN COUNTS RPH (MANAGING MEMBER)
(276) 865-5560
Entity
Organization
Contact information
Practice address
301 S MAIN ST STE 107, BLACKSBURG, VA 24060-4978
(540) 605-7721
(540) 605-7746
Mailing address
PO BOX 453, HAYSI, VA 24256-0453
(276) 525-0198
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004686
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972968279
—
VA
01
—
2157334
PK
—
Enumeration date
12/31/2015
Last updated
06/20/2024
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