Cundiff Drug Store Inc
Organization Active NPI Community/Retail Pharmacy · Vinton, VA
NPI 1396701587 · NPPES record last updated Feb 23, 2015
Key facts
- NPI
- 1396701587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0201000141 (VA)
- Legal business name
- CUNDIFF DRUG STORE INC
- Practice address
- 119 E Cleveland Ave
Vinton, VA 24179-2538 - Phone
- (540) 342-8928
- Fax
- (540) 343-8214
- NPI assigned
- Apr 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Samuel Cundiff
- Title
- Pharmacist in Charge
- Phone
- (540) 342-8928
Practitioners 1
National Provider Directory
Locations
119 E Cleveland Ave
Vinton, VA 24179
Phone (540) 342-8928
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0201000141 | VA | Yes |
Addresses
Primary practice location
119 E Cleveland Ave
Vinton, VA 24179-2538
Mailing address
119 E Cleveland Ave
Vinton, VA 24179-2538
Phone (540) 342-8928
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2102209 | Other | PK | |
| 8506469 | Medicaid | VA |
Other names
- CUNDIFF DRUG STORE INC
Other providers in Vinton, VA
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- Commonwealth of Virginia State Board of Health
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All providers in Vinton, VA · Community/Retail Pharmacy in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.