South River Compounding Pharmacy, INC
Pharmacist in Midlothian, VA. Organization (NPI-2).
NPI number1821187451
StatusActive
Last updated in NPPESFeb 15, 2016
Details
- NPI
- 1821187451
- Entity type
- Organization (NPI-2)
- Legal business name
- South River Compounding Pharmacy, INC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Feb 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 0201003498 | VA | Yes |
Practice location
11420 W Huguenot RdMidlothian, VA 23113-1119
Phone 804-897-6447 · Fax 804-897-6449
Mailing address
11420 W Huguenot RdMidlothian, VA 23113-1119
Phone 804-897-6447 · Fax 804-897-6449
Authorized official
Baylor Rice
President
8048976447
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