Provider Demographics
NPI:1851480024
Name:ABE&NORMA RX INC
Entity Type:Organization
Organization Name:ABE&NORMA RX INC
Other - Org Name:RANSONE'S DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-254-2904
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:BUCHANAN
Mailing Address - State:VA
Mailing Address - Zip Code:24066-0280
Mailing Address - Country:US
Mailing Address - Phone:540-254-2904
Mailing Address - Fax:540-254-2907
Practice Address - Street 1:19771 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUCHANAN
Practice Address - State:VA
Practice Address - Zip Code:24066-5500
Practice Address - Country:US
Practice Address - Phone:540-254-2904
Practice Address - Fax:540-254-2907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0201004066332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010218624Medicaid
5313400002Medicare NSC