NPI 1366768475

Richmond Medical Group

Organisation Non-Pharmacy Dispensing Site Leesburg, VA

Practice location

Address: 601 Potomac Station Dr, Leesburg, VA 20176
Phone: (703) 840-1396
Fax: (703) 840-1397

Authorised official

Name: Marvin W Bridgers
Title: Director of Pharmacy
Phone: (804) 822-4383

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 0101236400 (VA)

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Registry record

NPI: 1366768475
Entity type: Organization
NPI issued: 14 Apr 2010
Record last updated: 6 May 2010

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.