Jefferson Pharmacy Inc

LBN: Jefferson Pharmacy Inc
Jefferson Pharmacy Inc is an health care organization with primary practice located at 201 S Preston St , Ranson WV 25438-1628. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Jefferson Pharmacy Inc can be contacted via phone (304) 725-6533, or through Boyd, Scott via phone (304) 725-6533.

Contact Information

Primary practice address
201 S Preston St Ranson WV 25438-1628
Phone: (304) 725-6533
Fax: (304) 725-4330
Website:
Map and Directions
Authorized official contact:
Name: Boyd, Scott
Phone: (304) 725-6533

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Oxygen Equipment & Supplies 332BX2000X
Suppliers / Pharmacy 333600000X SP0550835 West Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1437159464
LBN Legal business name Jefferson Pharmacy Inc
DBA Doing business as
Authorized official Boyd, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2005
Last updated Jul 3rd, 2023 - about 3 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 1437159464 NPPES
West Virginia MEDICAID 0143416000
West Virginia Other 5007085

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