MEDICARE: DR. RUSSELL T LEDERHOUSE PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0202207604	VA

General Provider Information

NPI Number	:	1053584045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUSSELL T LEDERHOUSE PHARMD

Provider Business Mailing Address
First Line	:	54 FAWN HAVEN CT
Second Line	:
City	:	MARTINSBURG
State	:	WV
Zip	:	25405-5858
Country	:	US
Telephone Number	:	304-262-0104
Fax Number	:

Provider Business Practice Location Address
First Line	:	2207 VALLEY AVE
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2755
Country	:	US
Telephone Number	:	540-667-0330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2008
Last Update Date	:	04/10/2008

Similar Medicare Providers

1073616702 — VIRGINIA CVS PHARMACY LLC
Practice Location Address:

2207 VALLEY AVE
WINCHESTER, VA
22601-2755

Practice Phone: 540-667-0330
Practice Fax:

1861488074 — SU FAIRCHILD MD
Practice Location Address:

2251 VALLEY AVE
WINCHESTER, VA
22601-2755

Practice Phone: 540-215-2211
Practice Fax: 888-414-5264

1154476612 — EMILY T KEENAN CRNP-F
Practice Location Address:

2281 VALLEY AVE
WINCHESTER, VA
22601-2755

Practice Phone: 703-229-5453
Practice Fax: 888-352-8653

1003099938 — WINCHESTER ADDICTION SERVICES PLC
Practice Location Address:

3042 VALLEY AVE. SUITE 110
WINCHESTER, VA
22601-2755

Practice Phone: 540-450-2206
Practice Fax: 540-450-1546

1780166777 — VIRGINIA ADDICTION MANAGEMENT LLC
Practice Location Address:

2281 VALLEY AVE
WINCHESTER, VA
22601-2755

Practice Phone: 540-278-2228
Practice Fax: 866-279-1155

1225677909 — VAMED HEALTH GROUP LLC
Practice Location Address:

2281 VALLEY AVE
WINCHESTER, VA
22601-2755

Practice Phone: 540-215-2211
Practice Fax: 866-984-3777

Directions to “ DR. RUSSELL T LEDERHOUSE PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.