Healthcare Provider Details

I. General information

NPI: 1538243654
Provider Name (Legal Business Name): LAFAYETTE WESTWOOD PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5823 PATTERSON AVE
RICHMOND VA
23226-2536
US

IV. Provider business mailing address

5823 PATTERSON AVE
RICHMOND VA
23226-2536
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-1933
  • Fax: 804-288-7934
Mailing address:
  • Phone: 804-288-1933
  • Fax: 804-288-7934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0201002128
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number0201002128
License Number StateVA

VIII. Authorized Official

Name: DR. PATRICIA KELLY
Title or Position: PHARMACIST
Credential: PHARMD
Phone: 804-288-1933