Marshall Pharmacy

LBN: Fifth Sanitary Food Store Inc
Marshall Pharmacy is an health care organization with primary practice located at 8382 West Main Street , Marshall VA 20115. 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. Fifth Sanitary Food Store Inc can be contacted via phone (540) 364-9568, or through Trumbo, Holder via phone (540) 364-9568.

Contact Information

Primary practice address
8382 West Main Street Marshall VA 20115
Phone: (540) 364-9568
Fax: (540) 364-1479
Website:
Map and Directions
Authorized official contact:
Name: Trumbo, Holder
Phone: (540) 364-9568

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201001805 Virginia

Profile Details

NPI number 1932247699
LBN Legal business name Fifth Sanitary Food Store Inc
DBA Doing business as Marshall Pharmacy
Authorized official Trumbo, Holder
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Feb 28th, 2012 - about 14 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 1932247699 NPPES
Virginia MEDICAID 00851315
Virginia Other 4816801

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