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NPI Code Detail

MEDICARE: NTA, LTD

MEDICARE: NTA, LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy0201001307VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14813918OTHERVANCPDP

General Provider Information

NPI Number : 1669430641
Entity Type Code : Organization
Provider Name (Legal Business Name) : NTA, LTD
Provider Business Mailing Address
First Line : PO BOX 10
Second Line :
City : LADYSMITH
State : VA
Zip : 22501-0010
Country : US
Telephone Number : 804-448-2606
Fax Number : 804-448-0159
Provider Business Practice Location Address
First Line : 18014 JEFFERSON DAVIS HWY
Second Line :
City : RUTHER GLEN
State : VA
Zip : 22546-2922
Country : US
Telephone Number : 804-448-2606
Fax Number : 804-448-0159
Authorized Official
Title or Position : PRESIDENT/PHARMACIST-IN-CHARGE
Name : MR. WILLIAM WALDEN ABERNATHY
Credential : RPH
Telephone Number : 804-448-2606
Provider Enumeration Date : 05/01/2006
Last Update Date : 08/22/2020

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Directions to “NTA, LTD ” Practice Location

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