Black Diamond Pharmacy, Llc

LBN: Black Diamond Pharmacy, Llc
Black Diamond Pharmacy, Llc is an health care organization with primary practice located at 33800 Coal Heritage Road , Northfork WV 24868-0397. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Black Diamond Pharmacy, Llc can be contacted via phone (304) 862-2105, or through Dunson, David Henry via phone (304) 862-2105.

Contact Information

Primary practice address
33800 Coal Heritage Road Northfork WV 24868-0397
Phone: (304) 862-2105
Fax: (304) 862-2107
Website:
Map and Directions
Authorized official contact:
Name: Dunson, David Henry R.PH., CDE
Phone: (304) 862-2105

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X SP552244 West Virginia

Profile Details

NPI number 1558444026
LBN Legal business name Black Diamond Pharmacy, Llc
DBA Doing business as
Authorized official Dunson, David Henry R.PH., CDE
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558444026 NPPES
West Virginia Other 5011438 NABP
West Virginia MEDICAID 0008503000 NABP

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