Mutual Drug,Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201000502 Issued in VA

Legal business name

MUTUAL DRUG,INC.

Practice address

314 Wood Avenue E.
PO Drawer M
Big Stone Gap, VA 24219-0210

Phone

(276) 523-1123

Fax

(276) 523-4534

NPI assigned

Sep 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward Alan Carlton, PHARM.D.

Title

President

Phone

(276) 523-1123

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1437241791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 WOOD AVENUE E.",
            "address_2": "PO DRAWER M",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242190210",
            "telephone_number": "276-523-1123",
            "fax_number": "276-523-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 WOOD AVENUE E.",
            "address_2": "PO DRAWER M",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242190210",
            "telephone_number": "276-523-1123",
            "fax_number": "276-523-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUTUAL DRUG,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-523-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201000502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "4804945",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lori Mullins, PA-C
• Rebecca J Mullins, FNP
• Radoslav S.B. Nicholas, M.D.
• Lara Marcie Rae Nimety, LPC/ MHSP
• Northeast Tennessee Emergency Physicians PC
• Charles Norton
• Katlyn L Nunley, LPC

• Community/Retail Pharmacy in Big Stone Gap, VA
• Providers in Big Stone Gap, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.