<Unavail>

LBN: Main Street Pharmacy, L.L.C.
<Unavail> is an health care organization with primary practice located at 21170 Ashby Ponds Blvd Ste 101 , Ashburn VA 20147-6128. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Main Street Pharmacy, L.L.C. can be contacted via phone (401) 765-1500, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
21170 Ashby Ponds Blvd Ste 101 Ashburn VA 20147-6128
Phone: (401) 765-1500
Fax: (401) 770-7108
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1073159885
LBN Legal business name Main Street Pharmacy, L.L.C.
DBA Doing business as <Unavail>
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2019
Last updated Oct 14th, 2020 - about 6 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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