Healthcare Provider Details

I. General information

NPI: 1598764631
Provider Name (Legal Business Name): JAMES RICHARD SUHRBIER SR. R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 BAGLEY CIR
MARION VA
24354-3126
US

IV. Provider business mailing address

17746 OLD JONESBORO RD
ABINGDON VA
24211-6626
US

V. Phone/Fax

Practice location:
  • Phone: 276-783-1200
  • Fax: 276-783-8993
Mailing address:
  • Phone: 276-628-1311
  • Fax: 276-783-8993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number0202206872
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number029004
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: