East Lake Pharmacy

LBN: Centertown Pharmacy Llc
East Lake Pharmacy is an health care organization with primary practice located at 10102 Leesville Rd , Lynch Station VA 24571-2210. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Centertown Pharmacy Llc can be contacted via phone (540) 587-0555, or through Thompson, G Bruce via phone (540) 587-0555.

Contact Information

Primary practice address
10102 Leesville Rd Lynch Station VA 24571-2210
Phone: (540) 587-0555
Fax: (540) 587-8741
Website:
Map and Directions
Authorized official contact:
Name: Thompson, G Bruce RPH
Phone: (540) 587-0555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0201004056 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1841232147
LBN Legal business name Centertown Pharmacy Llc
DBA Doing business as East Lake Pharmacy
Authorized official Thompson, G Bruce RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1841232147 NPPES
Other 4839049 OTHER ID NUMBER-COMMERCIAL NUMBER

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