Provider Demographics
NPI:1548248487
Name:VIRGINIA PHARMACIES INC.
Entity type:Organization
Organization Name:VIRGINIA PHARMACIES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST - IN - CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:LANIER
Authorized Official - Last Name:SPELLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:540-364-9568
Mailing Address - Street 1:PO BOX 496
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:VA
Mailing Address - Zip Code:20116-0496
Mailing Address - Country:US
Mailing Address - Phone:540-364-9568
Mailing Address - Fax:540-364-1479
Practice Address - Street 1:8382 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:VA
Practice Address - Zip Code:20115-3222
Practice Address - Country:US
Practice Address - Phone:540-364-9568
Practice Address - Fax:540-364-1479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4816801OtherNCPDP