Healthcare Provider Details

I. General information

NPI: 1700676830
Provider Name (Legal Business Name): CENTRALMED PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2453 COLONY CROSSING PL
MIDLOTHIAN VA
23112-4281
US

IV. Provider business mailing address

2453 COLONY CROSSING PL
MIDLOTHIAN VA
23112-4281
US

V. Phone/Fax

Practice location:
  • Phone: 804-302-0984
  • Fax: 804-302-0995
Mailing address:
  • Phone: 804-302-0984
  • Fax: 804-302-0995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RYAN JUNHO CHOI
Title or Position: OWNER/PIC
Credential: PHARMD
Phone: 804-302-0984