Modern Pharmacy Inc

LBN: Modern Pharmacy Inc
Modern Pharmacy Inc is an health care organization with primary practice located at 155 S Main St , Danville VA 24541-2921. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Modern Pharmacy Inc can be contacted via phone (434) 793-5711, or through Milam, Glenn via phone (434) 793-5711.

Contact Information

Primary practice address
155 S Main St Danville VA 24541-2921
Phone: (434) 793-5711
Fax: (434) 792-2516
Website:
Map and Directions
Authorized official contact:
Name: Milam, Glenn PHARM D
Phone: (434) 793-5711

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 0201000491 Virginia

Profile Details

NPI number 1942267497
LBN Legal business name Modern Pharmacy Inc
DBA Doing business as Modern Pharmacy Inc
Authorized official Milam, Glenn PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2006
Last updated Nov 21st, 2014 - about 12 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 1942267497 NPPES
Other 2102444 PK
MEDICAID 8502609 PK
MEDICAID 0925669 PK

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