Organization
GRETNA DRUG CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY CHAPMAN BROWN III (VICE PRESIDENT, PHARMACIST)
(434) 656-1251
Entity
Organization
Contact information
Practice address
108 VADEN DR, GRETNA, VA 24557-4160
(434) 656-1251
(434) 656-6003
Mailing address
PO BOX 456, GRETNA, VA 24557-0456
(434) 656-1251
(434) 656-6003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
0201000332
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008501815
—
VA
05
—
009148523
—
VA
Enumeration date
07/19/2005
Last updated
05/28/2008
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