NPI 1003942046

Virginia Department of Corrections

Organisation Pharmacy Richmond, VA

Practice location

Address: 6900 Atmore Dr Rm 3127a, Richmond, VA 23225-5644
Phone: (804) 674-3681
Fax: (804) 674-3684

Authorised official

Name: Gene Johnson
Title: Director
Phone: (804) 674-3119

Registered specialties

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence 0201001317 (VA)

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Registry record

NPI: 1003942046
Entity type: Organization
NPI issued: 26 Feb 2007
Record last updated: 13 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.