Provider Demographics
NPI:1932634953
Name:BIG STONE ECONOMY DRUG INC
Entity Type:Organization
Organization Name:BIG STONE ECONOMY DRUG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-971-3811
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:
Mailing Address - City:HURLEY
Mailing Address - State:VA
Mailing Address - Zip Code:24620-0205
Mailing Address - Country:US
Mailing Address - Phone:276-524-4204
Mailing Address - Fax:276-524-4206
Practice Address - Street 1:419 SHAWNEE AVE E
Practice Address - Street 2:
Practice Address - City:BIG STONE GAP
Practice Address - State:VA
Practice Address - Zip Code:24219-2817
Practice Address - Country:US
Practice Address - Phone:276-524-4204
Practice Address - Fax:276-524-4206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02010047713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy