Village Pharmacy

LBN: Desak G Hicks
Village Pharmacy is an health care organization with primary practice located at 873 Highway 84 , Coffeeville AL 36524-5012. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Desak G Hicks can be contacted via phone (251) 276-3400, or through Hicks, Desak George via phone (251) 276-3400.

Contact Information

Primary practice address
873 Highway 84 Coffeeville AL 36524-5012
Phone: (251) 276-3400
Fax: (251) 276-3562
Website:
Map and Directions
Authorized official contact:
Name: Hicks, Desak George
Phone: (251) 276-3400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 110452 Alabama
Suppliers / Compounding Pharmacy 3336C0004X 110452 Alabama

Profile Details

NPI number 1134182827
LBN Legal business name Desak G Hicks
DBA Doing business as Village Pharmacy
Authorized official Hicks, Desak George
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2006
Last updated Mar 21st, 2011 - about 15 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 1134182827 NPPES
Alabama MEDICAID 100001132
Alabama Other 0105672

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