Healthcare Provider Details
I. General information
NPI: 1205297975
Provider Name (Legal Business Name): WHAT IF, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2016
Last Update Date: 03/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8209 WHIPPOORWILL RD
MECHANICSVILLE VA
23116-3039
US
IV. Provider business mailing address
8209 WHIPPOORWILL RD
MECHANICSVILLE VA
23116-3039
US
V. Phone/Fax
- Phone: 804-746-4049
- Fax: 844-731-3122
- Phone: 804-746-4049
- Fax: 844-731-3122
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | VA |
VIII. Authorized Official
Name: MR.
WILLIAM
BERKLEY
RAYFIELD
Title or Position: PHARMACIST/PIC
Credential: RPH.
Phone: 804-746-4049