MEDICARE: ABE&NORMA RX 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
1	332B00000X	Durable Medical Equipment & Medical Supplies	0201004066	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851480024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABE&NORMA RX INC

Provider Business Mailing Address
First Line	:	PO BOX 280
Second Line	:
City	:	BUCHANAN
State	:	VA
Zip	:	24066-0280
Country	:	US
Telephone Number	:	540-254-2904
Fax Number	:	540-254-2907

Provider Business Practice Location Address
First Line	:	19771 MAIN ST
Second Line	:
City	:	BUCHANAN
State	:	VA
Zip	:	24066-5500
Country	:	US
Telephone Number	:	540-254-2904
Fax Number	:	540-254-2907

Authorized Official
Title or Position	:	PHARMACY OWNER
Name	:	MR. JEFFREY GOLDSTEIN
Credential	:
Telephone Number	:	540-254-2904

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/27/2011

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Directions to “ABE&NORMA RX INC ” Practice Location

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