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NPI 1366768475

OrganizationActive

Richmond Medical Group

NPI 1366768475 · Non-Pharmacy Dispensing Site · Leesburg, VA

Provider details

NPI number: 1366768475
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Authorized official: Marvin Bridgers, Director of Pharmacy
License: 0101236400 (VA)

Practice location

601 Potomac Station Dr

Leesburg, VA 20176

Phone: (703) 840-1396

Fax: (703) 840-1397

More VA providers

Mailing address

601 Potomac Station Dr

Leesburg, VA 20176

Registry dates

Enumerated: 2010-04-14
Last updated: 2010-05-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Richmond Medical Group — NPI 1366768475, Leesburg, VA | NPI Central