Organization
MECHANICSVILLE DRUG STORE INC
Active
Other names
MECHANICSVILLE DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JAY THOMPSON RPH (OWNER)
(804) 746-5168
Entity
Organization
Contact information
Practice address
8077 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111-1222
(804) 746-5168
(804) 746-7046
Mailing address
PO BOX 7, MECHANICSVILLE, VA 23111-0007
(804) 746-5168
(804) 746-7046
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201000458
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102079
PK
—
05
—
8505624
—
VA
Enumeration date
10/10/2006
Last updated
03/01/2017
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