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NPI Code Detail

MEDICARE: COMMONWEALTH PHARMACY

MEDICARE: COMMONWEALTH PHARMACY
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy0201002863VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14825470OTHEROTHER ID NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619048410
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMONWEALTH PHARMACY
Provider Business Mailing Address
First Line : 949 PINEY FOREST RD
Second Line :
City : DANVILLE
State : VA
Zip : 24540-1591
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 949 PINEY FOREST RD
Second Line :
City : DANVILLE
State : VA
Zip : 24540-1591
Country : US
Telephone Number : 434-836-7144
Fax Number : 434-836-5415
Authorized Official
Title or Position : PHARMACIST
Name : DONALD RODDEN
Credential :
Telephone Number : 434-836-7144
Provider Enumeration Date : 11/13/2006
Last Update Date : 09/13/2007

Similar Medicare Providers

1689034514 — AMANDA L KEITH FNP
Practice Location Address:
949 PINEY FOREST RD
DANVILLE, VA
24540-1591
Practice Phone: 434-857-5644
Practice Fax: 434-835-4875
1770544041 — DR. NEIL JOSEPH LAHURD JR. DO
Practice Location Address:
949 PINEY FOREST RD
DANVILLE, VA
24540-1591
Practice Phone: 434-835-4876
Practice Fax:
1831147107 — MS. VALERIE A WHITE FNP
Practice Location Address:
949 PINEY FOREST RD
DANVILLE, VA
24540-1591
Practice Phone: 434-835-4876
Practice Fax:
1417061490 — HOME PHARMACY SERVICES OF VA
Practice Location Address:
949 PINEY FOREST RD
DANVILLE, VA
24540-1591
Practice Phone: 434-835-0030
Practice Fax: 434-835-0031
1790854446 — DONALD JEFFREY RODDEN RPH
Practice Location Address:
949 PINEY FOREST RD
DANVILLE, VA
24540-1591
Practice Phone: 434-836-7146
Practice Fax: 434-836-5415
1770652364 — ANNETTE MCFALLS STOWE RPH
Practice Location Address:
949 PINEY FOREST RD
DANVILLE, VA
24540-1591
Practice Phone: 434-835-0030
Practice Fax: 434-835-0031

Directions to “COMMONWEALTH PHARMACY ” Practice Location

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