Kmart 4062

LBN: Kmart 4062
Kmart 4062 is an health care organization with primary practice located at 3311 Riverside Dr , Danville VA 24541-3430. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Kmart 4062 can be contacted via phone (434) 799-0162, or through Stevens, Danny Edward via phone (434) 799-0162.

Contact Information

Primary practice address
3311 Riverside Dr Danville VA 24541-3430
Phone: (434) 799-0162
Fax: (847) 396-2798
Website:
Map and Directions
Authorized official contact:
Name: Stevens, Danny Edward
Phone: (434) 799-0162

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0202010116 Virginia

Profile Details

NPI number 1790148617
LBN Legal business name Kmart 4062
DBA Doing business as
Authorized official Stevens, Danny Edward
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2016
Last updated Mar 29th, 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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