Provider Demographics
NPI:1821748856
Name:PIEDMONT ACCESS TO HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:PIEDMONT ACCESS TO HEALTH SERVICES, INC
Other - Org Name:PATHS COMMUNITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:434-791-3630
Mailing Address - Street 1:705 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-1803
Mailing Address - Country:US
Mailing Address - Phone:434-791-3630
Mailing Address - Fax:
Practice Address - Street 1:1627 SEYMOUR DR
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:VA
Practice Address - Zip Code:24592-3447
Practice Address - Country:US
Practice Address - Phone:434-575-0153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PIEDMONT ACCESS TO HEALTH SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-24
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy