Healthcare Provider Details

I. General information

NPI: 1376849372
Provider Name (Legal Business Name): WHEELER DRUG CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3141 CEDAR VALLEY DR
RICHLANDS VA
24641-3076
US

IV. Provider business mailing address

3141 CEDAR VALLEY DR
RICHLANDS VA
24641-3076
US

V. Phone/Fax

Practice location:
  • Phone: 276-964-4068
  • Fax: 276-963-5013
Mailing address:
  • Phone: 276-964-4068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number0201001810
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GREGORY WHEELER
Title or Position: PRESIDENT
Credential:
Phone: 276-964-4068