Healthcare Provider Details

I. General information

NPI: 1497842306
Provider Name (Legal Business Name): RX SOUTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 04/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12230 IRON BRIDGE RD SUITE C
CHESTER VA
23831-1534
US

IV. Provider business mailing address

12230 IRON BRIDGE RD SUITE C
CHESTER VA
23831-1534
US

V. Phone/Fax

Practice location:
  • Phone: 804-717-5000
  • Fax: 804-717-8300
Mailing address:
  • Phone: 804-717-5000
  • Fax: 804-717-8300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201003685
License Number StateVA

VIII. Authorized Official

Name: CHRISTOPHER CURRIN
Title or Position: PIC
Credential: RPH
Phone: 804-717-5000