Healthcare Provider Details

I. General information

NPI: 1457336703
Provider Name (Legal Business Name): RICHMOND APOTHECARIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2024 STAPLES MILL RD
RICHMOND VA
23230-3109
US

IV. Provider business mailing address

2002 STAPLES MILL RD
RICHMOND VA
23230-3109
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-8361
  • Fax: 804-285-8059
Mailing address:
  • Phone: 804-285-8055
  • Fax: 804-285-8059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201002887
License Number StateVA

VIII. Authorized Official

Name: WENDY H VANDY
Title or Position: PROJECT MANAGER
Credential:
Phone: 804-285-8055