Healthcare Provider Details

I. General information

NPI: 1013433242
Provider Name (Legal Business Name): A & F RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2017
Last Update Date: 05/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5015 MAIN ST
STEPHENS CITY VA
22655-3003
US

IV. Provider business mailing address

5015 MAIN ST
STEPHENS CITY VA
22655-3003
US

V. Phone/Fax

Practice location:
  • Phone: 540-869-1660
  • Fax: 540-869-1463
Mailing address:
  • Phone: 540-869-1660
  • Fax: 540-869-1463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201002810
License Number StateVA

VIII. Authorized Official

Name: ANTHONY FIELDS
Title or Position: PHARMACIST
Credential:
Phone: 540-303-2356