COLONIAL PHARMACY INC
7510 Mechanicsville Tpke
Mechanicsville, VA 23111
804-746-7997
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies | ||
Y | 3336C0003X | Suppliers - Pharmacy | VA | 0201002983 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1114096450 | VA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 4826371 | OTHER |