Clarks Pharmacy Inc

LBN: Clarks Pharmacy Inc
Clarks Pharmacy Inc is an health care organization with primary practice located at 119 A N Main Street , Farmville VA 23901. 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. Clarks Pharmacy Inc can be contacted via phone (434) 392-1411, or through Clark, Jerry via phone (434) 392-8665.

Contact Information

Primary practice address
119 A N Main Street Farmville VA 23901
Phone: (434) 392-1411
Fax: (434) 392-1991
Website:
Map and Directions
Authorized official contact:
Name: Clark, Jerry
Phone: (434) 392-8665

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201002540 Virginia

Profile Details

NPI number 1083707293
LBN Legal business name Clarks Pharmacy Inc
DBA Doing business as Clarks Pharmacy Inc
Authorized official Clark, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated May 1st, 2013 - about 13 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 1083707293 NPPES
Other 2104739 PK
MEDICAID 008502722 PK

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