Provider Demographics
NPI:1619548526
Name:INDIAN HEALTH SERVICE RICHMOND SERVICE UNIT
Entity type:Organization
Organization Name:INDIAN HEALTH SERVICE RICHMOND SERVICE UNIT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NASHVILLE AREA PHARMACY CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-467-1577
Mailing Address - Street 1:2401 ROXBURY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLES CITY
Mailing Address - State:VA
Mailing Address - Zip Code:23030-2302
Mailing Address - Country:US
Mailing Address - Phone:804-622-0011
Mailing Address - Fax:804-622-0010
Practice Address - Street 1:400 N 8TH ST # G-63
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-4805
Practice Address - Country:US
Practice Address - Phone:804-622-0011
Practice Address - Fax:804-622-0010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INDIAN HEALTH SERVICE RICHMOND SERVICE UNIT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-02
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332800000XSuppliersIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy