Healthcare Provider Details

I. General information

NPI: 1427587534
Provider Name (Legal Business Name): NATHAN CULVER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2017
Last Update Date: 06/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 N 11TH ST
RICHMOND VA
23298-5002
US

IV. Provider business mailing address

8417 SUMMIT ACRES DR
NORTH CHESTERFIELD VA
23235-5158
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-8786
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number0202208363
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: