| King George Pharmacy, Inc. | |
|
11463 Ridge Rd King George VA 22485-4078 | |
| (540) 775-9200 | |
| (540) 775-4011 |
| Full Name | King George Pharmacy, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 11463 Ridge Rd, King George, Virginia |
| Authorized Official Name and Position | William B. Gallahan (OWNER) |
| Authorized Official Contact | 5407759200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King George Pharmacy, Inc. Po Box 122 King George VA 22485-0122 Ph: (540) 775-9200 | King George Pharmacy, Inc. 11463 Ridge Rd King George VA 22485-4078 Ph: (540) 775-9200 |
| NPI Number | 1578532842 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578532842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 0201001219 (Virginia) | Primary |
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