Health Care Alliance Pharmacy

LBN: Central Virginia Health Services
Health Care Alliance Pharmacy is an health care organization with primary practice located at 321 C Poplar Drive , Petersburg VA 23803. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Central Virginia Health Services can be contacted via phone (804) 733-5591, or through Manifold, Roderick via phone (434) 581-3273.

Contact Information

Primary practice address
321 C Poplar Drive Petersburg VA 23803
Phone: (804) 733-5591
Fax: (804) 957-5850
Website:
Map and Directions
Authorized official contact:
Name: Manifold, Roderick
Phone: (434) 581-3273

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0201001944 Virginia
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1467413880
LBN Legal business name Central Virginia Health Services
DBA Doing business as Health Care Alliance Pharmacy
Authorized official Manifold, Roderick
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 24th, 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 1467413880 NPPES
Virginia MEDICAID 010097185

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