Fork Union Pharmacy Inc

LBN: Fork Union Pharmacy Inc
Fork Union Pharmacy Inc is an health care organization with primary practice located at 4316 B James Madison Hwy , Fork Union VA 23055. 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. Fork Union Pharmacy Inc can be contacted via phone (434) 842-3208, or through Yonce, Ivan via phone (434) 842-3208.

Contact Information

Primary practice address
4316 B James Madison Hwy Fork Union VA 23055
Fax: (434) 842-1447
Website:
Authorized official contact:
Name: Yonce, Ivan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201000280 Virginia

Profile Details

NPI number 1417970880
LBN Legal business name Fork Union Pharmacy Inc
DBA Doing business as Fork Union Pharmacy Inc
Authorized official Yonce, Ivan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 4th, 2016 - about 10 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 1417970880 NPPES
Virginia MEDICAID 8505357
Virginia MEDICAID 1417970880
Virginia Other 2102630

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