Dickenson Pharmacy Pc
Community/Retail Pharmacy
580 N Main St, Rural Retreat
Virginia, 24368-2564
276-686-5073 276-686-5074
Dickenson Pharmacy Pc is a Community/Retail Pharmacy in Rural Retreat, Virginia. It is located at 580 N Main St, Rural Retreat and it's customer support contact number is 276-686-5073. The authorized person of Dickenson Pharmacy Pc is Shannon Dickenson who is Pic/owner of the pharmacy and his contact number is 276-617-8144. Active license number of Dickenson Pharmacy Pc is 0201004468 for Community/Retail Pharmacy in Virginia. Dickenson Pharmacy Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Dickenson Pharmacy Pc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Dickenson Pharmacy Pc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Dickenson Pharmacy Pc |
| Type: | Community/Retail Pharmacy |
| Location: | 580 N Main St, Rural Retreat,
Virginia, 24368-2564 |
| Phone: | 276-686-5073 |
| Fax: | 276-686-5074 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Shannon Dickenson |
| Position: | Pic/owner |
| Contact Number: | 276-617-8144 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1922368240 |
| NPI Enumeration Date: | 21 May, 2012 |
| NPI Last Update On: | 29 Nov, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dickenson Pharmacy Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 0201004468 | Virginia | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1922368240 | Medicaid | Virginia | |
| 2135292 | Other | | Pk |
Medicare Enrollment:
Dickenson Pharmacy Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8820244320 | O20120816000652 | Dickenson Pharmacy Pc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 215,
Rural Retreat, Virginia |
| Zip: | 24368-0215 |
| Phone Number: | 276-686-5073 |
Patients can reach Dickenson Pharmacy Pc at
580 N Main St, Rural Retreat, Virginia or can
call on customer care at 276-686-5073.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.