Organization
MARTINSVILLE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DENNIS GLASS R.PH (PHARMACY MANAGER)
(276) 632-0816
Entity
Organization
Contact information
Practice address
1049 BROOKDALE ST, STE A, MARTINSVILLE, VA 24112-3971
(276) 632-0816
(276) 632-0871
Mailing address
1049 BROOKDALE ST, STE A, MARTINSVILLE, VA 24112-3971
(276) 632-0816
(276) 632-0871
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
0201004762
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841738895
—
VA
Enumeration date
05/03/2017
Last updated
05/03/2017
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