Provider Demographics
NPI:1881162923
Name:PATIENT FIRST RICHMND MEDICAL GROUP PLLC
Entity type:Organization
Organization Name:PATIENT FIRST RICHMND MEDICAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELWOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:JR
Authorized Official - Credentials:CPHT
Authorized Official - Phone:804-822-4588
Mailing Address - Street 1:5000 COX RD STE 100
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-9263
Mailing Address - Country:US
Mailing Address - Phone:804-822-4588
Mailing Address - Fax:804-965-0987
Practice Address - Street 1:502 W BROAD ST STE 2
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3206
Practice Address - Country:US
Practice Address - Phone:571-421-8431
Practice Address - Fax:571-421-8432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site