David June Enterprises Llc in South Boston - Compounding Pharmacy

David June Enterprises Llc - NPI 1861586687

David June Enterprises Llc is a Compounding Pharmacy in South Boston, Virginia. David June Enterprises Llc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for David June Enterprises Llc is 1861586687. The last update date is 2021-09-20.

David June Enterprises Llc's current location address is 4121 Halifax Rd, South Boston, Virginia. You can contact this provider via phone number 4345750511 and fax number 4345751366. The mailing address for David June Enterprises Llc is 4121 Halifax Rd, South Boston, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization David June Enterprises Llc
Address 4121 Halifax Rd, South Boston, Virginia
Phone Number 4345750511
Fax Number 4345751366
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHAR
Authorized Official Name Anderson Stephen
Credentials PHARMD
Telephone Number 4345750511

NPI Number Detail

NPI Number 1861586687
Provider Enumeration Date 2006-10-03
Last Updated Date 2021-09-20

Provider Mailing Address Detail

Address 4121 Halifax Rd
City South Boston
State Virginia (VA)
Post Code 245924833
Phone Number 4345750511
Fax Number 4345751366

Provider's Primary Taxonomy Detail

Speciality Compounding Pharmacy
Taxonomy 3336C0004X
Definition:
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9138498 VA --
2102641 PK

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FAQs about David June Enterprises Llc

What is the unique identification code assigned to David June Enterprises Llc by the Centers for Medicare & Medicaid Services?

The David June Enterprises Llc has been issued the NPI (National Provider Identifier) 1861586687. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where David June Enterprises Llc is physically located?

The David June Enterprises Llc is physically situated at the following address: 4121 Halifax Rd, South Boston, VA, 245924833.

What is the area of specialization for David June Enterprises Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for David June Enterprises Llc is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0004X.

On what date did the David June Enterprises Llc receive its 1861586687 assignment from the Centers for Medicare & Medicaid Services?

The David June Enterprises Llc was assigned its 1861586687 by the Centers for Medicare & Medicaid Services on 2006-10-03.

When was the David June Enterprises Llc's information last updated?

The David June Enterprises Llc's information was last updated on 2021-09-20.

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