Provider Demographics
NPI:1528174034
Name:PHARMACEUTICAL ASSOCIATES INC .
Entity type:Organization
Organization Name:PHARMACEUTICAL ASSOCIATES INC .
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EVERETT
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:804-783-6020
Mailing Address - Street 1:505 W LEIGH ST
Mailing Address - Street 2:SUITE #101
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-3200
Mailing Address - Country:US
Mailing Address - Phone:804-783-6020
Mailing Address - Fax:804-225-7322
Practice Address - Street 1:505 W LEIGH ST
Practice Address - Street 2:SUITE #101
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-3200
Practice Address - Country:US
Practice Address - Phone:804-783-6020
Practice Address - Fax:804-225-7322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02010023693336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4820519Medicare UPIN