MEDICARE: WHEELER DRUG CORP

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	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	0201001810	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2129545	OTHER		PK

General Provider Information

NPI Number	:	1376849372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHEELER DRUG CORP

Provider Business Mailing Address
First Line	:	3141 CEDAR VALLEY DR
Second Line	:
City	:	RICHLANDS
State	:	VA
Zip	:	24641-3076
Country	:	US
Telephone Number	:	276-964-4068
Fax Number	:

Provider Business Practice Location Address
First Line	:	3141 CEDAR VALLEY DR
Second Line	:
City	:	RICHLANDS
State	:	VA
Zip	:	24641-3076
Country	:	US
Telephone Number	:	276-964-4068
Fax Number	:	276-963-5013

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GREGORY WHEELER
Credential	:
Telephone Number	:	276-964-4068

Provider Enumeration Date	:	02/08/2011
Last Update Date	:	08/23/2016

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Directions to “WHEELER DRUG CORP ” Practice Location

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