Provider Demographics
NPI:1841857364
Name:PHARMHEALTH EXPRESS, INC.
Entity type:Organization
Organization Name:PHARMHEALTH EXPRESS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMD/OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JILL
Authorized Official - Middle Name:D
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:276-739-7748
Mailing Address - Street 1:27255 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-7517
Mailing Address - Country:US
Mailing Address - Phone:276-739-7748
Mailing Address - Fax:276-739-2328
Practice Address - Street 1:27255 LEE HWY
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-7517
Practice Address - Country:US
Practice Address - Phone:276-739-7748
Practice Address - Fax:276-739-2328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1255617247Medicaid