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

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000X0201004069 (VA)

Public Health or Welfare Agency: Definition to come...

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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.