Centreville Medical Arts Pharmacy

LBN: Hairston & Dixon Inc
Centreville Medical Arts Pharmacy is an health care organization with primary practice located at 14260C Centreville Sq , Centreville VA 20121-2364. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Hairston & Dixon Inc can be contacted via phone (703) 266-3667, or through Dixon, Ernest via phone (703) 266-3667.

Contact Information

Primary practice address
14260C Centreville Sq Centreville VA 20121-2364
Fax: (703) 266-3361
Website:
Authorized official contact:
Name: Dixon, Ernest RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 0201004231 Virginia

Profile Details

NPI number 1184886145
LBN Legal business name Hairston & Dixon Inc
DBA Doing business as Centreville Medical Arts Pharmacy
Authorized official Dixon, Ernest RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2008
Last updated Nov 11th, 2010 - about 16 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 1184886145 NPPES
Other 4840941 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 118486145 NCPDP PROVIDER IDENTIFICATION NUMBER

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