Healthcare Provider Details

I. General information

NPI: 1164896551
Provider Name (Legal Business Name): PIEDMONT ACCESS TO HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2015
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 WASHINGTON ST
BOYDTON VA
23917-3415
US

IV. Provider business mailing address

705 MAIN ST
DANVILLE VA
24541-1803
US

V. Phone/Fax

Practice location:
  • Phone: 434-210-4488
  • Fax: 434-738-6029
Mailing address:
  • Phone: 434-791-4880
  • Fax: 434-792-1725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201004671
License Number StateVA

VIII. Authorized Official

Name: MR. ROBERT ANTHONY PRATT
Title or Position: CHIEF OPERATING OFFICER
Credential: RPH
Phone: 434-791-3630