MEDICARE: IN-HOUSE PHARMACY PARTNERS, LLC

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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1427750090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN-HOUSE PHARMACY PARTNERS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 137
Second Line	:
City	:	NEW CANTON
State	:	VA
Zip	:	23123-0137
Country	:	US
Telephone Number	:	434-390-8788
Fax Number	:

Provider Business Practice Location Address
First Line	:	59 GOLD HILL ELEMENTARY SCHOOL RD STE C
Second Line	:
City	:	NEW CANTON
State	:	VA
Zip	:	23123-2162
Country	:	US
Telephone Number	:	434-390-8788
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID WARE CHRISTIAN
Credential	:	RPH
Telephone Number	:	434-390-8788

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	03/20/2023

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