Provider Demographics
NPI:1326338229
Name:BRANSCOMB, GINGER STEELE (RPH MS)
Entity Type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:STEELE
Last Name:BRANSCOMB
Suffix:
Gender:F
Credentials:RPH MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4672 RICHMOND ROAD
Mailing Address - Street 2:RITE AID PHARMACY
Mailing Address - City:WARSAW
Mailing Address - State:VA
Mailing Address - Zip Code:22572-1298
Mailing Address - Country:US
Mailing Address - Phone:804-333-4122
Mailing Address - Fax:804-333-9152
Practice Address - Street 1:4672 RICHMOND ROAD
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:VA
Practice Address - Zip Code:22572-1298
Practice Address - Country:US
Practice Address - Phone:804-333-4122
Practice Address - Fax:804-333-9152
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202004120183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist