Healthcare Provider Details

I. General information

NPI: 1750465357
Provider Name (Legal Business Name): ABE & NORMA S RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 05/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S MAIN ST
LEXINGTON VA
24450-2237
US

IV. Provider business mailing address

800 S MAIN ST
LEXINGTON VA
24450-2237
US

V. Phone/Fax

Practice location:
  • Phone: 540-463-9166
  • Fax: 540-463-9839
Mailing address:
  • Phone: 540-463-9166
  • Fax: 540-463-9839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201000424
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY GOLDSTEIN
Title or Position: OWNER
Credential: RPH
Phone: 540-463-9166