Provider Demographics
NPI:1730738170
Name:HOPE PHARMACY, INC.
Entity type:Organization
Organization Name:HOPE PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANTELLE
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:804-537-0103
Mailing Address - Street 1:1330 N 25TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-5243
Mailing Address - Country:US
Mailing Address - Phone:804-537-0103
Mailing Address - Fax:804-250-8499
Practice Address - Street 1:1330 N 25TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-5243
Practice Address - Country:US
Practice Address - Phone:804-537-0103
Practice Address - Fax:804-250-8499
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPE PHARMACY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy