<Unavail>

LBN: Main Street Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 1600 Westbrook Ave , Richmond VA 23227-3337. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Main Street Pharmacy, Llc can be contacted via phone (804) 264-6245, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1600 Westbrook Ave Richmond VA 23227-3337
Phone: (804) 264-6245
Fax: (804) 264-6125
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 0201001586 Virginia

Profile Details

NPI number 1649539420
LBN Legal business name Main Street Pharmacy, Llc
DBA Doing business as <Unavail>
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2012
Last updated Jun 30th, 2016 - about 10 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 1649539420 NPPES
Other 4843884 NCPDP

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