Appomattox Drug Store

Organization Active NPI Durable Medical Equipment & Medical Supplies · Appomattox, VA

NPI 1679622948 · NPPES record last updated Dec 11, 2023

Key facts

NPI
1679622948
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
APPOMATTOX DRUG STORE
Practice address
2046 Confederate Blvd
Appomattox, VA 24522-4097
Phone
(434) 352-7161
Fax
(434) 352-9466
NPI assigned
Jan 9, 2007
Organization subpart
No

Authorized official

Name
Mrs. Jamie D Mitchell
Title
General Manager
Phone
(434) 352-7161

National Provider Directory

Locations

2046 Confederate Blvd
Appomattox, VA 24522
Phone (434) 352-7161

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X VA Yes

Addresses

Primary practice location

2046 Confederate Blvd
Appomattox, VA 24522-4097

Mailing address

PO Box 489
Appomattox, VA 24522-0489
Phone (434) 352-7161

Other identifiers

IdentifierTypeStateIssuer
009106545MedicaidVA

Other providers in Appomattox, VA

All providers in Appomattox, VA · Durable Medical Equipment & Medical Supplies in Virginia

Sources for this page

Verify at the official NPI Registry.