Provider Demographics
NPI:1396170197
Name:CHILHOWIE DRUG COMPANY INC
Entity type:Organization
Organization Name:CHILHOWIE DRUG COMPANY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/PIC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:K
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:276-521-0491
Mailing Address - Street 1:1449 E LEE HWY
Mailing Address - Street 2:P.O. BOX 387
Mailing Address - City:CHILHOWIE
Mailing Address - State:VA
Mailing Address - Zip Code:24319-5458
Mailing Address - Country:US
Mailing Address - Phone:276-521-0491
Mailing Address - Fax:276-521-0496
Practice Address - Street 1:1449 E LEE HWY
Practice Address - Street 2:
Practice Address - City:CHILHOWIE
Practice Address - State:VA
Practice Address - Zip Code:24319-5458
Practice Address - Country:US
Practice Address - Phone:276-521-0491
Practice Address - Fax:276-521-0496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
VA02010045403336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1396170197Medicaid
2141960OtherPK