Appomattox Drug Store
LBN: Appomattox Drug Store Inc
Appomattox Drug Store is an health care organization with primary practice located at 2046 Confederate Blvd , Appomattox VA 24522-4097. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Appomattox Drug Store Inc can be contacted via phone (434) 352-7161, or through Mitchell, Jamie via phone (434) 352-7161.
Contact Information
Primary practice address
2046 Confederate Blvd
Appomattox VA 24522-4097
Phone: (434) 352-7161
Fax: (434) 352-2180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0201001785 | Virginia |
Profile Details
| NPI number | 1508896598 |
|---|---|
| LBN Legal business name | Appomattox Drug Store Inc |
| DBA Doing business as | Appomattox Drug Store |
| Authorized official | Mitchell, Jamie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Dec 11th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508896598 | NPPES |
| Virginia | MEDICAID | 008511268 | |
| Virginia | Other | 2102351 | |
| Virginia | MEDICAID | 8511268 |
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