Essentia Health Virginia Hospital Pharmacy

LBN: Essentia Health Virginia Llc
Essentia Health Virginia Hospital Pharmacy is an health care organization with primary practice located at 901 9Th Street North , Virginia MN 55792. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Essentia Health Virginia Llc can be contacted via phone (218) 749-9414, or through Parks, Tara Marie via phone (218) 749-9414.

Contact Information

Primary practice address
901 9Th Street North Virginia MN 55792
Phone: (218) 749-9414
Fax: (218) 749-9565
Website:
Map and Directions
Authorized official contact:
Name: Parks, Tara Marie PHARMD
Phone: (218) 749-9414

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 2608921 Minnesota

Profile Details

NPI number 1740293489
LBN Legal business name Essentia Health Virginia Llc
DBA Doing business as Essentia Health Virginia Hospital Pharmacy
Authorized official Parks, Tara Marie PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 14th, 2006
Last updated Feb 23rd, 2017 - about 9 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 1740293489 NPPES
Other 2412118 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 900019400 NCPDP PROVIDER IDENTIFICATION NUMBER

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