Provider Demographics
NPI:1548383235
Name:ALLIED COMMUNITY PHARMACY
Entity Type:Organization
Organization Name:ALLIED COMMUNITY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:AKERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-332-7798
Mailing Address - Street 1:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:RUSTBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24588-0186
Mailing Address - Country:US
Mailing Address - Phone:434-332-7798
Mailing Address - Fax:434-332-3911
Practice Address - Street 1:767 VILLAGE HIGHWAY
Practice Address - Street 2:
Practice Address - City:RUSTBURG
Practice Address - State:VA
Practice Address - Zip Code:24588-0186
Practice Address - Country:US
Practice Address - Phone:434-332-7798
Practice Address - Fax:434-332-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA39784800001Medicare ID - Type Unspecified