Organization
MECHANICSVILLE DRUG STORE INC
Active
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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