GUARDIAN PHARMACY OF VIRGINIA LLC NPI 1447500400

NPI Information

GUARDIAN PHARMACY OF VIRGINIA LLC is a long term care pharmacy pharmacy in Wytheville, VA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GUARDIAN PHARMACY OF VIRGINIA LLC NPI is 1447500400. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Pharmacy Services.

The provider's business location address is:

860 STAFFORD UMBERGER DR
WYTHEVILLE, VA
ZIP 24382
Phone: (276) 228-5940
Fax: (866) 928-3983

The provider's authorized official is Chad Terry .
The authorized official title is President and has the following contact phone number (866) 768-8479.

The enumeration date for this NPI number is 9/17/2012 and was last updated on 8/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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