Jeff Dalton Inc Medicine Shoppe

LBN: Jeff Dalton Inc Medicine Shoppe
Jeff Dalton Inc Medicine Shoppe is an health care organization with primary practice located at 1230 Main St , Altavista VA 24517-1466. 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. Jeff Dalton Inc Medicine Shoppe can be contacted via phone (434) 369-5257, or through Dalton, Jeff via phone (434) 369-5257.

Contact Information

Primary practice address
1230 Main St Altavista VA 24517-1466
Phone: (434) 369-5257
Fax: (434) 369-1061
Website:
Map and Directions
Authorized official contact:
Name: Dalton, Jeff R.P.H
Phone: (434) 369-5257

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0201003405 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X Virginia

Profile Details

NPI number 1093800914
LBN Legal business name Jeff Dalton Inc Medicine Shoppe
DBA Doing business as
Authorized official Dalton, Jeff R.P.H
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 7th, 2023 - about 2 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 1093800914 NPPES
Virginia MEDICAID 008517371
Virginia MEDICAID 010332591

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