Village Green Pharmacy
LBN: Mark V Coberly
Village Green Pharmacy is an health care organization with primary practice located at 4195 Massillion Rd Ste B, Union Town OH 44685. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Mark V Coberly can be contacted via phone (330) 896-0212, or through Coberly, Mark via phone (330) 896-0212.
Contact Information
Primary practice address
4195 Massillion Rd Ste B
Union Town OH 44685
Phone: (330) 896-0212
Fax: (330) 896-0682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 03 2 12837 | Ohio |
| Suppliers / Pharmacy | 333600000X | 02588950 | Ohio |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1366526006 |
|---|---|
| LBN Legal business name | Mark V Coberly |
| DBA Doing business as | Village Green Pharmacy |
| Authorized official | Coberly, Mark |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 15th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366526006 | NPPES |
| Ohio | MEDICAID | 0573955 | |
| Ohio | Other | 3642750 |
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