Provider Demographics
NPI:1821456484
Name:SHORT PUMP PHARMACY
Entity Type:Organization
Organization Name:SHORT PUMP PHARMACY
Other - Org Name:RX3 PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-717-5000
Mailing Address - Street 1:12230 IRON BRIDGE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1534
Mailing Address - Country:US
Mailing Address - Phone:804-717-5000
Mailing Address - Fax:804-717-8300
Practice Address - Street 1:11934 W BROAD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-1007
Practice Address - Country:US
Practice Address - Phone:804-717-5000
Practice Address - Fax:804-717-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy