Organization
FORT CHISWELL PHARMACY INC
Active
Other names
Fort Chiswell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STACY PETRUNYAK (PHARMACIST IN CHARGE)
(276) 637-3178
Entity
Organization
Contact information
Practice address
791 FORT CHISWELL RD, SUITE B, MAX MEADOWS, VA 24360-4139
(276) 637-3178
(276) 637-4158
Mailing address
791 FORT CHISWELL RD, SUITE B, MAX MEADOWS, VA 24360-4139
(276) 637-3178
(276) 637-4158
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201002590
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2104830
PK
—
05
—
8504156
—
VA
Enumeration date
09/20/2006
Last updated
11/10/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us