Tri-State Pharmacy

LBN: Levisa Pharmacies Inc
Tri-State Pharmacy is an health care organization with primary practice located at 20759 Riverside Dr , Grundy VA 24614-6746. 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. Levisa Pharmacies Inc can be contacted via phone (276) 935-7513, or through Thornbury, Joel via phone (276) 935-7513.

Contact Information

Primary practice address
20759 Riverside Dr Grundy VA 24614-6746
Phone: (276) 935-7513
Fax: (276) 935-2256
Website:
Map and Directions
Authorized official contact:
Name: Thornbury, Joel BS PHARMACY
Phone: (276) 935-7513

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201002326 Virginia

Profile Details

NPI number 1568565604
LBN Legal business name Levisa Pharmacies Inc
DBA Doing business as Tri-State Pharmacy
Authorized official Thornbury, Joel BS PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Dec 17th, 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 1568565604 NPPES
Kentucky MEDICAID 54020326
Kentucky MEDICAID 9137289
Kentucky MEDICAID 8515514
Kentucky Other 4820204

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