Healthcare Provider Details

I. General information

NPI: 1285787804
Provider Name (Legal Business Name): BUCHANAN PHARMACIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RR 1 BOX 20
DUNGANNON VA
24245-9701
US

IV. Provider business mailing address

RR 1 BOX 20
DUNGANNON VA
24245-9701
US

V. Phone/Fax

Practice location:
  • Phone: 276-467-2469
  • Fax: 276-467-2673
Mailing address:
  • Phone: 276-467-2469
  • Fax: 276-467-2673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201003423
License Number StateVA

VIII. Authorized Official

Name: MR. CHARLES HENRY BUCHANAN JR.
Title or Position: PRESIDENT
Credential: RPH
Phone: 276-694-3100