Provider Demographics
NPI:1275069122
Name:HARRISONBURG ROCKINGHAM FREE CLINIC
Entity Type:Organization
Organization Name:HARRISONBURG ROCKINGHAM FREE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:PIERCE
Authorized Official - Last Name:LOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:540-433-5431
Mailing Address - Street 1:25 W WATER ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3624
Mailing Address - Country:US
Mailing Address - Phone:540-433-5431
Mailing Address - Fax:540-574-0207
Practice Address - Street 1:25 W WATER ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3624
Practice Address - Country:US
Practice Address - Phone:540-433-5431
Practice Address - Fax:540-574-0207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02010029813336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy