Healthcare Provider Details

I. General information

NPI: 1548383235
Provider Name (Legal Business Name): ALLIED COMMUNITY PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

767 VILLAGE HIGHWAY
RUSTBURG VA
24588-0186
US

IV. Provider business mailing address

PO BOX 186
RUSTBURG VA
24588-0186
US

V. Phone/Fax

Practice location:
  • Phone: 434-332-7798
  • Fax: 434-332-3911
Mailing address:
  • Phone: 434-332-7798
  • Fax: 434-332-3911

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: MR. GEORGE ROGER AKERS
Title or Position: PHARMACIST
Credential:
Phone: 434-332-7798