Organization · Type 2 NPI
Community Resource Pharmacy
Public Health or Welfare Agency · Petersburg, VA
NPI number
1598733768
Active
Practice location
26317 West Washington Street,, Extended Building #110
Petersburg, VA 23803
Fax (804) 524-7079
Mailing address
PO Box 4030
Petersburg, VA 23803-0030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | 0201004069 (VA) |
Public Health or Welfare Agency: Definition to come...
Other public health or welfare agency providers in Petersburg
About NPI 1598733768
Community Resource Pharmacy's National Provider Identifier is 1598733768, issued on Mar 14, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Petersburg, VA. The record was last updated on Aug 22, 2020.