Healthcare Provider Details

I. General information

NPI: 1326056482
Provider Name (Legal Business Name): APOTHECARY ENTERPRISES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 FRONT ST WEST MARTY SHOPPING CENTER
COEBURN VA
24230-3607
US

IV. Provider business mailing address

P.O. BOX 1828 517 FRONT STREET W.
COEBURN VA
24230-3607
US

V. Phone/Fax

Practice location:
  • Phone: 276-395-2257
  • Fax: 276-395-3526
Mailing address:
  • Phone: 276-395-2257
  • Fax: 276-395-3526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201001896
License Number StateVA

VIII. Authorized Official

Name: MR. JESSE LITTLETON ZEIGLER III
Title or Position: OWNER/PHARMACIST
Credential: PHARMACIST
Phone: 276-395-2257