Provider Demographics
NPI:1033283338
Name:RICHMOND APOTHECARIES INC
Entity Type:Organization
Organization Name:RICHMOND APOTHECARIES INC
Other - Org Name:BREMO LTC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:304-285-8055
Mailing Address - Street 1:2002 STAPLES MILL RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3109
Mailing Address - Country:US
Mailing Address - Phone:804-285-7823
Mailing Address - Fax:804-285-7857
Practice Address - Street 1:2002 STAPLES MILL RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3109
Practice Address - Country:US
Practice Address - Phone:804-285-7823
Practice Address - Fax:804-285-7857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0201002888333600000X
3336L0003X
DCNRX10001723336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1033283338Medicaid
2103784OtherPK
VA008513988Medicaid
VA009131299Medicaid
VA009131299Medicaid