Provider Demographics
NPI:1538644513
Name:CHRISTIANSBURG PHARMACY INC.
Entity Type:Organization
Organization Name:CHRISTIANSBURG PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SENTHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIMUTHU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:540-320-3345
Mailing Address - Street 1:470 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-2940
Mailing Address - Country:US
Mailing Address - Phone:540-382-9000
Mailing Address - Fax:540-382-9002
Practice Address - Street 1:470 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-2940
Practice Address - Country:US
Practice Address - Phone:540-382-9000
Practice Address - Fax:540-382-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy