| NPI | 1548796600 |
|---|---|
| Doing Business As | FISHBURNE PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID GARBER Owner/Pharmacist 540-949-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201002091) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2018-04-18 |