Provider Demographics
NPI:1053179382
Name:GRETNA DRUG CO., INC.
Entity type:Organization
Organization Name:GRETNA DRUG CO., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:CHAPMAN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:434-656-1251
Mailing Address - Street 1:PO BOX 456
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:VA
Mailing Address - Zip Code:24557-0456
Mailing Address - Country:US
Mailing Address - Phone:434-656-1251
Mailing Address - Fax:434-656-6003
Practice Address - Street 1:108 VADEN DR
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:VA
Practice Address - Zip Code:24557-4160
Practice Address - Country:US
Practice Address - Phone:434-656-1251
Practice Address - Fax:434-656-6003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRETNA DRUG COMPANY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy