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NPI Code Detail

MEDICARE: RICHMOND APOTHECARIES INC

MEDICARE: RICHMOND APOTHECARIES INC
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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0004XCompounding Pharmacy
33336C0003XCommunity/Retail Pharmacy0201002887VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
149D0870966OTHERCLIA ID
22102986OTHERPK

General Provider Information

NPI Number : 1457336703
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHMOND APOTHECARIES INC
Provider Business Mailing Address
First Line : 2002 STAPLES MILL RD
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3109
Country : US
Telephone Number : 804-285-8055
Fax Number : 804-285-8059
Provider Business Practice Location Address
First Line : 2024 STAPLES MILL RD
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3109
Country : US
Telephone Number : 804-288-8361
Fax Number : 804-285-8059
Authorized Official
Title or Position : PROJECT MANAGER
Name : WENDY H VANDY
Credential :
Telephone Number : 804-285-8055
Provider Enumeration Date : 12/09/2005
Last Update Date : 04/26/2024

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Directions to “RICHMOND APOTHECARIES INC ” Practice Location

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