Fort Chiswell Pharmacy

LBN: Fort Chiswell Pharmacy Inc
Fort Chiswell Pharmacy is an health care organization with primary practice located at 791 Fort Chiswell Rd Suite B, Max Meadows VA 24360-4139. 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. Fort Chiswell Pharmacy Inc can be contacted via phone (276) 637-3178, or through Petrunyak, Stacy via phone (276) 637-3178.

Contact Information

Primary practice address
791 Fort Chiswell Rd Suite B Max Meadows VA 24360-4139
Phone: (276) 637-3178
Fax: (276) 637-4158
Website:
Map and Directions
Authorized official contact:
Name: Petrunyak, Stacy
Phone: (276) 637-3178

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201002590 Virginia

Profile Details

NPI number 1992802821
LBN Legal business name Fort Chiswell Pharmacy Inc
DBA Doing business as Fort Chiswell Pharmacy
Authorized official Petrunyak, Stacy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 10th, 2016 - 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 1992802821 NPPES
Virginia MEDICAID 8504156
Virginia Other 2104830

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